Clovis Andrew Kitchens in Little Rock - Pediatric Dentistry
Clovis Andrew Kitchens - NPI 1336298066
Clovis Andrew Kitchens is a Pediatric Dentistry in Little Rock, Arkansas. Clovis Andrew Kitchens practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Clovis Andrew Kitchens is 1336298066. The last update date is 2011-12-28.
Clovis Andrew Kitchens's current location address is 14114 Taylor Loop Rd., Little Rock, Arkansas. You can contact this provider via phone number 5018683331 and fax number 5018685323. The mailing address for Clovis Andrew Kitchens is 14114 Taylor Loop Rd., Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clovis Andrew Kitchens |
|---|---|
| Address | 14114 Taylor Loop Rd., Little Rock, Arkansas |
| Phone Number | 5018683331 |
| Fax Number | 5018685323 |
| Sole Proprietor | Y |
| Credentials | D.D.S. M.S |
NPI Number Detail
| NPI Number | 1336298066 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2011-12-28 |
Provider Mailing Address Detail
| Address | 14114 Taylor Loop Rd. |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 72223 |
| Phone Number | 5018683331 |
| Fax Number | 5018685323 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2186 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58373 | AR | BCBS ID # | |
| 156309631 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Clovis Andrew Kitchens by the Centers for Medicare & Medicaid Services?
The Clovis Andrew Kitchens has been assigned the NPI (National Provider Identifier) 1336298066. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Clovis Andrew Kitchens is physically located?
The Clovis Andrew Kitchens is situated at the following address: 14114 Taylor Loop Rd., Little Rock, AR 72223.
What is Clovis Andrew Kitchens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clovis Andrew Kitchens is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Clovis Andrew Kitchens receive the assignment of its 1336298066 from the Centers for Medicare & Medicaid Services?
The Clovis Andrew Kitchens was issued its 1336298066 by the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the information regarding Clovis Andrew Kitchens, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clovis Andrew Kitchens, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-12-28.