MEDICARE: KLEIN AND BEGNOCHE DENTAL, PA

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
1	1223G0001X	General Practice Dentistry	6863	FL
2	1223G0001X	General Practice Dentistry	14257	FL
3	1223G0001X	General Practice Dentistry	16086	FL

General Provider Information

NPI Number	:	1629097860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KLEIN AND BEGNOCHE DENTAL, PA

Provider Business Mailing Address
First Line	:	200 KNUTH RD
Second Line	:	SUITE 140
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4629
Country	:	US
Telephone Number	:	561-737-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 KNUTH RD
Second Line	:	SUITE 140
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4629
Country	:	US
Telephone Number	:	561-737-1600
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. PAUL E. KLEIN
Credential	:	D.D.S.
Telephone Number	:	561-737-1600

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

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