Provider Demographics
NPI:1487529749
Name:KIRCHNER DENTAL LLC
Entity type:Organization
Organization Name:KIRCHNER DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:KIRCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:812-884-8304
Mailing Address - Street 1:1706 WILLIAMSBURG DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-8013
Mailing Address - Country:US
Mailing Address - Phone:812-283-5550
Mailing Address - Fax:888-534-0279
Practice Address - Street 1:1706 WILLIAMSBURG DR
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8013
Practice Address - Country:US
Practice Address - Phone:812-283-5550
Practice Address - Fax:888-534-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty