1356094817 NPI number — ALAN G. KLINE D.D.S. L.L.C.

Table of content: DR. KRISTIN SCHMIDT MALONE PHARMD (NPI 1396070785)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356094817 NPI number — ALAN G. KLINE D.D.S. L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALAN G. KLINE D.D.S. L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356094817
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
584 BELLERIVE RD STE 3B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21409-4612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-757-3008
Provider Business Mailing Address Fax Number:
410-914-8485

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
584 BELLERIVE RD STE 3B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21409-4612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-757-3008
Provider Business Practice Location Address Fax Number:
410-914-8485
Provider Enumeration Date:
02/03/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KLINE
Authorized Official First Name:
ALAN
Authorized Official Middle Name:
GARY
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
410-757-3008

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)