Paul E. Kittle in Leavenworth - Pediatric Dentistry

Paul E. Kittle - NPI 1740263029

Paul E. Kittle is a Pediatric Dentistry in Leavenworth, Kansas. Paul E. Kittle practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Paul E. Kittle is 1740263029. The last update date is 2007-07-09.

Paul E. Kittle's current location address is 309 S 2nd St, Leavenworth, Kansas. You can contact this provider via phone number 9136519800 and fax number 9136518559. The mailing address for Paul E. Kittle is 309 S 2nd St, Leavenworth, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul E. Kittle
Address 309 S 2nd St, Leavenworth, Kansas
Phone Number 9136519800
Fax Number 9136518559
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1740263029
Provider Enumeration Date 2005-11-21
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 309 S 2nd St
City Leavenworth
State Kansas (KS)
Post Code 660482803
Phone Number 9136519800
Fax Number 9136518559

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 6806
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10022579B KS --
1005786 KS --

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FAQs about Paul E. Kittle

What is the unique 10-digit identifier code issued to Paul E. Kittle by the Centers for Medicare & Medicaid Services?

The Paul E. Kittle has been assigned the NPI (National Provider Identifier) 1740263029 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Paul E. Kittle is physically located?

The Paul E. Kittle is situated at the following address: 309 S 2Nd St, Leavenworth, KS 660482803.

What is Paul E. Kittle's specialized field of practice, and what is the corresponding taxonomy classification code?

The Paul E. Kittle's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740263029 to Paul E. Kittle?

The Centers for Medicare & Medicaid Services assigned the 1740263029 to Paul E. Kittle on 2005-11-21.

As of what date was the information pertaining to Paul E. Kittle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

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

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