Provider Demographics
NPI:1720294580
Name:KLEIN, DAVID J (D,D,S,)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:KLEIN
Suffix:
Gender:M
Credentials:D,D,S,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9370 MCKNIGHT RD
Mailing Address - Street 2:SUITE 406
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5953
Mailing Address - Country:US
Mailing Address - Phone:412-366-7575
Mailing Address - Fax:412-366-4518
Practice Address - Street 1:9370 MCKNIGHT RD
Practice Address - Street 2:SUITE 406
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5953
Practice Address - Country:US
Practice Address - Phone:412-366-7575
Practice Address - Fax:412-366-4518
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN10547122300000X
PADS019544L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice