Provider Demographics
NPI:1750011474
Name:KLEIER, EMILY (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:KLEIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:EVERITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2927 N 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-2722
Mailing Address - Country:US
Mailing Address - Phone:402-340-7610
Mailing Address - Fax:
Practice Address - Street 1:118 N BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:IA
Practice Address - Zip Code:51601-1206
Practice Address - Country:US
Practice Address - Phone:712-246-4391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE78071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice