Michal Freda Kleinlerer, DMD, MMSC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4024 Issued in ME

Practice address

72 Broadway
#A
Bangor, ME 04401-5202

Phone

(207) 945-6324

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1972703981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 KENNEDY MEMORIAL DR",
            "address_2": "#C",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014517",
            "telephone_number": "207-873-5333",
            "fax_number": "207-873-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BROADWAY",
            "address_2": "#A",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015202",
            "telephone_number": "207-945-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINLERER",
        "first_name": "MICHAL",
        "middle_name": "FREDA",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kiser
• Stephanie Elaine Jacobs Kisilywicz, LSW-C
• Kevin M Kitagawa, MD
• Sandra Louise Kitchen, FNP
• Kelly Ruthanne Klein, MD
• John Dean Klemperer, MD
• Paul Kluger, M.D.
• Knada, PA
• Dara H Knapp, PA
• Darin Knapp, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.