Provider Demographics
NPI:1427174390
Name:KLENKE & ASSOCIATES, PC
Entity type:Organization
Organization Name:KLENKE & ASSOCIATES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KLENKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-877-2273
Mailing Address - Street 1:11115 WURZBACH RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-2643
Mailing Address - Country:US
Mailing Address - Phone:210-877-2273
Mailing Address - Fax:210-561-5500
Practice Address - Street 1:11115 WURZBACH RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2643
Practice Address - Country:US
Practice Address - Phone:210-877-2273
Practice Address - Fax:210-561-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty