# ADAM G KIEFER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kiefer Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699379008
- **Authorized official:** ADAM GENE KIEFER DDS (OWNER)
- **Authorized official phone:** (812) 424-9506

## Contact information

- **Practice address:** 3323 MARINER DR, EVANSVILLE, IN 47711-7016
- **Practice address phone:** (812) 424-9506
- **Practice address fax:** (812) 402-6533
- **Mailing address:** 3323 MARINER DR, EVANSVILLE, IN 47711-7016
- **Mailing address phone:** (812) 424-9506
- **Mailing address fax:** (812) 402-6533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2020
- **Last updated:** 11/25/2020
