Provider Demographics
NPI:1144381377
Name:KLEIN, ANTHONY RICHARD II (DDS)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:RICHARD
Last Name:KLEIN
Suffix:II
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 1:7933 SCOTTSDALE DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-9010
Mailing Address - Country:US
Mailing Address - Phone:812-858-2855
Mailing Address - Fax:
Practice Address - Street 1:2430 N GOVERNOR ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-3214
Practice Address - Country:US
Practice Address - Phone:812-425-4556
Practice Address - Fax:812-425-4557
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009726A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice