KIERIAN B. KUKLOK MD DDS INC. NPI 1174739700

NPI Information

  • NPI: 1174739700
  • Provider Name: KIERIAN B. KUKLOK, MD, DDS, INC.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: CARMEL MOUNTAIN ORAL & FACIAL SURGERY
  • Address: 9912 CARMEL MOUNTAIN RD STE A
    SAN DIEGO, CA
    ZIP 92129
  • Phone: (858) 484-6418

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NPI Details

KIERIAN B. KUKLOK, MD, DDS, INC. is an oral and maxillofacial surgery dentist in San Diego, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. KIERIAN B. KUKLOK, MD, DDS, INC. NPI is 1174739700. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carmel Mountain Oral & Facial Surgery.

The provider's business location address is:

9912 CARMEL MOUNTAIN RD STE A
SAN DIEGO, CA
ZIP 92129-808
Phone: (858) 484-6418
Fax: (858) 484-6318

The provider's authorized official is Kierian Brian Kuklok .
The authorized official title is Owner and has the following contact phone number (858) 484-6418.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryOMS29CALIFORNIAYes
2174400000XSpecialistA68737CALIFORNIAX

What is NPI?

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This page was last updated on: 3/30/2025

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