# KLEIN DENTAL ARTS PLLC

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

## Provider details

- **NPI number:** 1689343139
- **Authorized official:** TODD KLEIN (OWNER)
- **Authorized official phone:** (865) 983-0941

## Contact information

- **Practice address:** 1905 W BROADWAY AVE, MARYVILLE, TN 37801-5401
- **Practice address phone:** (865) 983-0941
- **Practice address fax:** (965) 984-4756
- **Mailing address:** 1905 W BROADWAY AVE, MARYVILLE, TN 37801-5401
- **Mailing address phone:** (865) 983-0941
- **Mailing address fax:** (965) 984-4756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 09/08/2021