Individual provider · Type 1 NPI
Gary Lee Kistner, DDS
Pediatric Dentistry · Tyrone, PA
NPI number
1851507271
Active
Practice location
2 Hospital Dr
Tyrone, PA 16686-1805
Mailing address
405 E Springwood Pl
Port Matilda, PA 16870-7021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DS022565L (PA) |
Pediatric Dentistry: 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.
About NPI 1851507271
Gary Lee Kistner, DDS's National Provider Identifier is 1851507271, issued on May 15, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tyrone, PA. The record was last updated on Jul 9, 2007.