Robert Marc Kleiner, DDS
Individual provider Active NPI General Practice Dentistry · Clarkston, GA
NPI 1700958006 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700958006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN008683 (GA)
- Practice address
- 4122 E Ponce de Leon Ave
Suite #5
Clarkston, GA 30021-1838 - Phone
- (404) 294-8385
- Fax
- (404) 294-4000
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN008683 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN008683 | GA | Yes |
Addresses
Primary practice location
4122 E Ponce de Leon Ave
Suite #5
Clarkston, GA 30021-1838
Mailing address
320 The CLFS
Atlanta, GA 30350-2623
Phone (770) 641-1666
Other providers in Clarkston, GA
- S'Zahria Symone Jones
- Keanna L Joseph-Clarke
- Kids-Doc-on-Wheels
- Esther Kim
- Marilyn Cecelia Kimble
- Emily Schober Klingman
- Latrice Shanee Lawrence
- Joyce Rochelle Lewis
- Rebecca Li
- Lifeline Medical Center, LLC
All providers in Clarkston, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.