# GEOFFREY A. KLOPENSTINE DDS PC

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

## Provider details

- **NPI number:** 1275701369
- **Authorized official:** DR. GEOFFREY ALLEN KLOPENSTINE DDS (OWNER/DENTIST)
- **Authorized official phone:** (574) 272-6575

## Contact information

- **Practice address:** 51584 US HIGHWAY 33, SOUTH BEND, IN 46637-1704
- **Practice address phone:** (574) 272-6575
- **Mailing address:** 51584 US HIGHWAY 33, SOUTH BEND, IN 46637-1704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009913A | IN | Yes |

## Other

- **Enumeration date:** 02/12/2008
- **Last updated:** 02/12/2008