Keith J Whittemore in Waterloo - General Practice

Keith J Whittemore - NPI 1306987789

Keith J Whittemore is a General Practice in Waterloo, Iowa. Keith J Whittemore practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith J Whittemore is 1306987789. The last update date is 2007-07-09.

Keith J Whittemore's current location address is 3120 Kimball Ave, Waterloo, Iowa. You can contact this provider via phone number 3192321354 and fax number 3192322082. The mailing address for Keith J Whittemore is 3120 Kimball Ave, Waterloo, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith J Whittemore
Address 3120 Kimball Ave, Waterloo, Iowa
Phone Number 3192321354
Fax Number 3192322082
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1306987789
Provider Enumeration Date 2007-02-09
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3120 Kimball Ave
City Waterloo
State Iowa (IA)
Post Code 507025272
Phone Number 3192321354
Fax Number 3192322082

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7395
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
282517 IA --

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FAQs about Keith J Whittemore

What is the unique 10-digit identifier code issued to Keith J Whittemore by the Centers for Medicare & Medicaid Services?

The Keith J Whittemore has been assigned the NPI (National Provider Identifier) 1306987789 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Keith J Whittemore is physically located?

The Keith J Whittemore is physically situated at the following address: 3120 Kimball Ave, Waterloo, IA, 507025272.

What is the area of specialization for Keith J Whittemore, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Keith J Whittemore is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did Keith J Whittemore receive its 1306987789 assignment from the Centers for Medicare & Medicaid Services?

The Keith J Whittemore was assigned its 1306987789 on 2007-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Keith J Whittemore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Keith J Whittemore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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