Dr Douglas G Kistler, DDS is a
Dentist - General Practice based in Spring Grove, Pennsylvania. Dr Douglas G Kistler is licensed to practice in Pennsylvania (license number DSO29459L) and his current practice location is
26 Roth Church Rd, Spring Grove Professional Center, Spring Grove, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 225-5741.
NPI number for Dr Douglas G Kistler is 1174636799 and his current mailing address is 26 Roth Church Rd, Spring Grove Professional Center, Spring Grove, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174636799.
Healthcare Provider's Profile
| Full Name | Dr Douglas G Kistler |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 26 Roth Church Rd, Spring Grove, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174636799
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Douglas G Kistler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174636799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DSO29459L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Douglas G Kistler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Douglas G Kistler, DDS
26 Roth Church Rd, Spring Grove Professional Center,
Spring Grove, PA 17362-1406
Ph: (717) 225-5741 | Dr Douglas G Kistler, DDS
26 Roth Church Rd, Spring Grove Professional Center,
Spring Grove, PA 17362-1406
Ph: (717) 225-5741 |
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