MEDICARE: DR. JEFFERY SCOTT KAHLER D.D.S.

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	40081	CA

General Provider Information

NPI Number	:	1518055029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY SCOTT KAHLER D.D.S.

Provider Business Mailing Address
First Line	:	441 12TH ST
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-2208
Country	:	US
Telephone Number	:	805-238-2342
Fax Number	:	805-238-2934

Provider Business Practice Location Address
First Line	:	441 12TH ST
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-2208
Country	:	US
Telephone Number	:	805-238-2342
Fax Number	:	805-238-2934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/08/2007

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