Provider Demographics
NPI:1871697185
Name:KLING ORTHODONTICS INC
Entity type:Organization
Organization Name:KLING ORTHODONTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:KLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:314-837-5787
Mailing Address - Street 1:1470 S NEW FLORISSANT ROAD
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8198
Mailing Address - Country:US
Mailing Address - Phone:314-837-5787
Mailing Address - Fax:314-837-8080
Practice Address - Street 1:1470 S NEW FLORISSANT ROAD
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8198
Practice Address - Country:US
Practice Address - Phone:314-837-5787
Practice Address - Fax:314-837-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO131211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty