Provider Demographics
NPI:1588781363
Name:RICHARD C. KINDIG, D.D.S., P.C.
Entity type:Organization
Organization Name:RICHARD C. KINDIG, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:KINDIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-789-3557
Mailing Address - Street 1:1100 MONTOUR RD
Mailing Address - Street 2:P.O. BOX 166
Mailing Address - City:LOYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17047-9200
Mailing Address - Country:US
Mailing Address - Phone:717-789-3557
Mailing Address - Fax:
Practice Address - Street 1:1100 MONTOUR RD
Practice Address - Street 2:
Practice Address - City:LOYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17047-9200
Practice Address - Country:US
Practice Address - Phone:717-789-3557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018239L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty