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General NPI Number Information
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NPI Number | 1700753738
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Entity Type | Organization
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Legal Business Name | JAMIE KLINEFELTER, DMD, INC.
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 712 LIGHTHOUSE AVE
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-2522
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Country | US
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Telephone | 831-375-4942
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Fax | 831-375-2960
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Provider Business Mailing Address
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Address Line | 712 LIGHTHOUSE AVE
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-2522
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Country | US
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Telephone | 831-375-2960
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Fax | 831-375-2960
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JAMIE LEE KLINEFELTER
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Credential | DMD
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Telephone | 480-444-6107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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