Provider Demographics
NPI:1093889826
Name:KREYLING, DAVID ALLEN (DMD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:KREYLING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7536 US ROUTE 42
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1946
Mailing Address - Country:US
Mailing Address - Phone:859-371-3773
Mailing Address - Fax:
Practice Address - Street 1:7536 US ROUTE 42
Practice Address - Street 2:SUITE 2
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1946
Practice Address - Country:US
Practice Address - Phone:859-371-3773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist