Individual
DR. GARY LEE KISTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 HOSPITAL DR, TYRONE, PA 16686-1805
(814) 684-2499
Mailing address
405 E SPRINGWOOD PL, PORT MATILDA, PA 16870-7021
(814) 234-9014
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS022565L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000789980003
—
PA
01
—
438677
UNITED CONCORDIA
PA
Enumeration date
05/15/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us