| Alan R. Kiefer, D.d.s. | |
|
1706 Beall Ave Suite D Wooster OH 44691-2378 | |
| (330) 264-8623 | |
| (330) 263-1853 |
| Full Name | Alan R. Kiefer, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1706 Beall Ave, Wooster, Ohio |
| Authorized Official Name and Position | Alan R. Kiefer (OWNER) |
| Authorized Official Contact | 3302648623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan R. Kiefer, D.d.s. 1706 Beall Ave Suite D Wooster OH 44691-2378 Ph: (330) 264-8623 | Alan R. Kiefer, D.d.s. 1706 Beall Ave Suite D Wooster OH 44691-2378 Ph: (330) 264-8623 |
| NPI Number | 1588830434 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588830434 | NPI | - | NPPES |
| 0270479 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13899 (Ohio) | Primary |
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