Provider Demographics
NPI:1437046638
Name:NEAL, KRISTIN LUCILLE (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:LUCILLE
Last Name:NEAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16491 STONEWOLF BLVD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-1172
Mailing Address - Country:US
Mailing Address - Phone:317-519-4833
Mailing Address - Fax:
Practice Address - Street 1:2909 E BUICK CADILLAC BLVD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-5443
Practice Address - Country:US
Practice Address - Phone:812-339-3427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12014803A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist