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NPI Code Detail

MEDICARE: DR. JOHN P KLEITCHES D.M.D.

MEDICARE:  DR. JOHN P KLEITCHES  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3222SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245200245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN P KLEITCHES D.M.D.
Provider Business Mailing Address
First Line : 4702 FOREST DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29206-3109
Country : US
Telephone Number : 803-738-2424
Fax Number : 803-738-0277
Provider Business Practice Location Address
First Line : 4702 FOREST DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29206-3109
Country : US
Telephone Number : 803-738-2424
Fax Number : 803-738-0277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN P KLEITCHES D.M.D.” Practice Location

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