Kittson Dental Clinic Pa in Hallock - Dentist

Kittson Dental Clinic Pa - NPI 1144303256

Kittson Dental Clinic Pa is a Dentist in Hallock, Minnesota. Kittson Dental Clinic Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kittson Dental Clinic Pa is 1144303256. The last update date is 2020-08-22.

Kittson Dental Clinic Pa's current location address is 1010 South Birch, Hallock, Minnesota. You can contact this provider via phone number 2188433343 and fax number 2188438053. The mailing address for Kittson Dental Clinic Pa is 1010 South Birch, Hallock, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kittson Dental Clinic Pa
Address 1010 South Birch, Hallock, Minnesota
Phone Number 2188433343
Fax Number 2188438053
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER ONLY
Authorized Official Name Hanel Ammen Travis
Credentials DDS
Telephone Number 2188433343

NPI Number Detail

NPI Number 1144303256
Provider Enumeration Date 2006-10-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1010 South Birch
City Hallock
State Minnesota (MN)
Post Code 56728
Phone Number 2188433343
Fax Number 2188438053

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D12024
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Kittson Dental Clinic Pa

What is the unique 10-digit identification code assigned to Kittson Dental Clinic Pa by the Centers for Medicare & Medicaid Services?

The Kittson Dental Clinic Pa has been issued the NPI (National Provider Identifier) 1144303256, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kittson Dental Clinic Pa?

The Kittson Dental Clinic Pa is situated at 1010 South Birch, in the city of Hallock, state of MN, with the zip code 56728.

What is the area of specialization for Kittson Dental Clinic Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kittson Dental Clinic Pa is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did Kittson Dental Clinic Pa receive its 1144303256 assignment from the Centers for Medicare & Medicaid Services?

The Kittson Dental Clinic Pa was assigned its 1144303256 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Kittson Dental Clinic Pa's information last updated?

The Kittson Dental Clinic Pa's information was last updated on 2020-08-22.

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