Provider Demographics
NPI:1316111842
Name:KLINE, ALAN GARY (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:GARY
Last Name:KLINE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 BELLERIVE RD
Mailing Address - Street 2:SUITE #B
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21409-4612
Mailing Address - Country:US
Mailing Address - Phone:410-757-3008
Mailing Address - Fax:410-757-2565
Practice Address - Street 1:584 BELLERIVE RD
Practice Address - Street 2:SUITE #B
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21409-4612
Practice Address - Country:US
Practice Address - Phone:410-757-3008
Practice Address - Fax:410-757-2565
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist