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General NPI Number Information
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NPI Number | 1497167431
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Entity Type | Individual
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Provider Name | JUSTIN KEITH KINDLER D.D.S., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2014
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 1001 MONARCH ST STE 210
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City | LEXINGTON
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State | KY
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Zip | 40513-1875
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Country | US
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Telephone | 859-368-7337
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 MONARCH ST STE 210
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City | LEXINGTON
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State | KY
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Zip | 40513-1875
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Country | US
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Telephone | 859-368-7337
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12012612A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN20554
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9825
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9431
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 1084
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License Number State | KY
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