| Klein Dental Group | |
|
156 Thierman Ln Louisville KY 40207-5010 | |
| (502) 896-2822 | |
| Not Available |
| Full Name | Klein Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 156 Thierman Ln, Louisville, Kentucky |
| Authorized Official Name and Position | Jeffrey Maurice Klein (OWNER) |
| Authorized Official Contact | 5028962822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klein Dental Group 156 Thierman Ln Louisville KY 40207-5010 Ph: (502) 896-2822 | Klein Dental Group 156 Thierman Ln Louisville KY 40207-5010 Ph: (502) 896-2822 |
| NPI Number | 1104935949 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104935949 | NPI | - | NPPES |
| 61900437 | Medicaid | KY | |
| 60058807 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5880 (Kentucky) | Primary |
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