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Dr. Gary Lee Kistner, DDS
Pediatric Dentist in Tyrone, Pennsylvania
NPI 1851507271

Gary Lee Kistner is a Pediatric Dentist based in Port Matilda, PA and is specialized in Pediatric Dentistry. Gary Lee Kistner practices in Tyrone, PA and has the professional credentials of DDS. The NPI Number for Gary Lee Kistner is 1851507271 and holds a License No. DS022565L (Pennsylvania).

The current practice location address for Gary Lee Kistner is 2 Hospital Dr, Tyrone, PA and can be reached out via phone at 814-684-2499.

Location: 2 Hospital Dr, Tyrone, PA, 16870-7021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851507271
Provider Name
Gary Lee Kistner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2 Hospital Dr, Tyrone, PA, 16870-7021
Phone Number
814-684-2499
Fax Number
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000789980003 05 PA
438677 01 PA UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2 Hospital Dr
City
Tyrone
State
Pennsylvania
Zip
16686-1805
Phone Number
814-684-2499
Fax Number
person
Provider Business Mailing Address Details
Address
2 Hospital Dr
City
Tyrone
State
Pennsylvania
Zip
16686-1805
Phone Number
814-684-2499
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DS022565L (Pennsylvania)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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