Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Klingonsmith, DMD

Individual provider General Practice Dentistry · NPI 1205910767

Dr. Shane Klingonsmith, DMD is a General Practice Dentistry in Bethlehem, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

4555 Easton Ave
Bethlehem, PA 18020-9343
Phone: (610) 866-0552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS036069 (PA)

Record details

NPI number1205910767
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESJanuary 28, 2013
Mailing address4555 Easton Ave, Bethlehem, PA 18020-9343

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