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Jack Kneisley, DDS
NPI 1295749711 · on the registry since 2006
Practice
- Address
- 221 E Home Rd
Springfield, OH 45503 - Phone
- (937) 399-4470
- Fax
- (937) 399-3338
- Organisation at this address
- Dr Tanisha R Moore Dds, Inc Dba Hometown Dds
Springfield Dental Group-David Scurria, Dds, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
General Practice Dentistry - Licence states on file
- OH, NH, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio