Jonathan S Klein, DMD

Individual provider Active NPI General Practice Dentistry · Lewisberry, PA

NPI 1205913183 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1205913183
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DS036299 (PA)
Practice address
501 Pleasant View Rd
Lewisberry, PA 17339-9401
Phone
(717) 938-1415
Fax
(717) 938-1416
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DS036299PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Klein Dental Associates, PC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS036299 PA Yes

Addresses

Primary practice location

501 Pleasant View Rd
Lewisberry, PA 17339-9401

Mailing address

6352 Galleon Dr
Mechanicsburg, PA 17050-2949
Phone (717) 599-6868

Other providers in Lewisberry, PA

All providers in Lewisberry, PA · General Practice Dentistry in Pennsylvania

Sources for this page

Verify at the official NPI Registry.