Organization
KLEIN DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MAURICE KLEIN D.M.D. (OWNER)
(502) 896-2822
Entity
Organization
Contact information
Practice address
156 THIERMAN LN, LOUISVILLE, KY 40207-5010
(502) 896-2822
Mailing address
156 THIERMAN LN, LOUISVILLE, KY 40207-5010
(502) 896-2822
(502) 896-0442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5880
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60058807
—
KY
05
—
61900437
—
KY
Enumeration date
08/29/2006
Last updated
08/22/2020
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