John C. Kittleson in Mequon - Orthodontics And Dentofacial Orthopedics
John C. Kittleson - NPI 1104042274
John C. Kittleson is a Orthodontics And Dentofacial Orthopedics in Mequon, Wisconsin. John C. Kittleson practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John C. Kittleson is 1104042274. The last update date is 2007-07-08.
John C. Kittleson's current location address is 10521 N Port Washington Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622413141. The mailing address for John C. Kittleson is 10521 N Port Washington Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C. Kittleson |
|---|---|
| Address | 10521 N Port Washington Rd, Mequon, Wisconsin |
| Phone Number | 2622413141 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104042274 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10521 N Port Washington Rd |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 530925584 |
| Phone Number | 2622413141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4648-015 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to John C. Kittleson by the Centers for Medicare & Medicaid Services?
The John C. Kittleson has been issued the NPI (National Provider Identifier) 1104042274. This 10-digit code 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 John C. Kittleson?
The John C. Kittleson is situated at 10521 N Port Washington Rd, in the city of Mequon, state of WI, with the zip code 530925584.
What is John C. Kittleson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John C. Kittleson is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
When was the John C. Kittleson's 1104042274 issued?
The John C. Kittleson's 1104042274 was issued on 2007-04-17.
When was the information regarding John C. Kittleson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John C. Kittleson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.