NPI 1003290545

Kelly Klontz Dds,pllc

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Oklahoma City, OK

Practice location

Address: 9721 S Pennsylvania Ave, Oklahoma City, OK 73159-6900
Phone: (405) 691-8100

Authorised official

Name: Kelly James Klontz
Title: Owner
Phone: (405) 691-8100

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 4878 (OK)

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Registry record

NPI: 1003290545
Entity type: Organization
NPI issued: 15 Jul 2015
Record last updated: 15 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.