Provider Demographics
NPI:1922297373
Name:N. PAUL KLINE, DDS, PC
Entity Type:Organization
Organization Name:N. PAUL KLINE, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:N.
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-978-1600
Mailing Address - Street 1:5601 W EUGIE AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-1255
Mailing Address - Country:US
Mailing Address - Phone:602-978-1600
Mailing Address - Fax:602-978-5462
Practice Address - Street 1:5601 W EUGIE AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1255
Practice Address - Country:US
Practice Address - Phone:602-978-1600
Practice Address - Fax:602-978-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2644261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental