Provider Demographics
NPI:1518055839
Name:KLEIN, JEFFREY CARLING (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CARLING
Last Name:KLEIN
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 1:1104 ROUTE 130 N
Mailing Address - Street 2:SUITE M
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3032
Mailing Address - Country:US
Mailing Address - Phone:856-829-2828
Mailing Address - Fax:856-829-6023
Practice Address - Street 1:1104 ROUTE 130 N
Practice Address - Street 2:SUITE M
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-3032
Practice Address - Country:US
Practice Address - Phone:856-829-2828
Practice Address - Fax:856-829-6023
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI147361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice