# KLEIN DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104935949
- **Authorized official:** DR. JEFFREY MAURICE KLEIN D.M.D. (OWNER)
- **Authorized official phone:** (502) 896-2822

## Contact information

- **Practice address:** 156 THIERMAN LN, LOUISVILLE, KY 40207-5010
- **Practice address phone:** (502) 896-2822
- **Mailing address:** 156 THIERMAN LN, LOUISVILLE, KY 40207-5010
- **Mailing address phone:** (502) 896-2822
- **Mailing address fax:** (502) 896-0442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5880 | KY | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 60058807 | — | KY |
| 05 | — | 61900437 | — | KY |