# KREIDER & KROGG DDS INC

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

## Provider details

- **NPI number:** 1780730580
- **Authorized official:** DR. FREDRICK CARL KROGG D.D.S. (PRESIDENT)
- **Authorized official phone:** (937) 390-3050

## Contact information

- **Practice address:** 2220 GRUBE ST, SPRINGFIELD, OH 45503-2643
- **Practice address phone:** (937) 390-3050
- **Practice address fax:** (937) 390-9840
- **Mailing address:** 2220 GRUBE ST, SPRINGFIELD, OH 45503-2643
- **Mailing address phone:** (937) 390-3050
- **Mailing address fax:** (937) 390-9840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 08/22/2020