Provider Demographics
NPI:1962400457
Name:ROBERT L KIEHL, DDS PS
Entity type:Organization
Organization Name:ROBERT L KIEHL, DDS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-584-1314
Mailing Address - Street 1:5920 100TH ST SW
Mailing Address - Street 2:STE 9
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2751
Mailing Address - Country:US
Mailing Address - Phone:253-584-1314
Mailing Address - Fax:253-584-5924
Practice Address - Street 1:5920 100TH ST SW
Practice Address - Street 2:STE 9
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2751
Practice Address - Country:US
Practice Address - Phone:253-584-1314
Practice Address - Fax:253-584-5924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA37661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty