Timothy A Kitley in Westmont - Pediatric Dentistry
Timothy A Kitley - NPI 1124213517
Timothy A Kitley is a Pediatric Dentistry in Westmont, Illinois. Timothy A Kitley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Timothy A Kitley is 1124213517. The last update date is 2020-01-03.
Timothy A Kitley's current location address is 700 E Ogden Ave, Westmont, Illinois. You can contact this provider via phone number 6309861234 and fax number 6308282984. The mailing address for Timothy A Kitley is 700 E Ogden Ave, Westmont, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy A Kitley |
|---|---|
| Address | 700 E Ogden Ave, Westmont, Illinois |
| Phone Number | 6309861234 |
| Fax Number | 6308282984 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124213517 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2020-01-03 |
Provider Mailing Address Detail
| Address | 700 E Ogden Ave |
|---|---|
| City | Westmont |
| State | Illinois (IL) |
| Post Code | 605591283 |
| Phone Number | 6309861234 |
| Fax Number | 6308282984 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19030647 |
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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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What is the unique identification code assigned to Timothy A Kitley by the Centers for Medicare & Medicaid Services?
The Timothy A Kitley has been issued the NPI (National Provider Identifier) 1124213517. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Timothy A Kitley's physical address?
The Timothy A Kitley is physically located at 700 E Ogden Ave, in the city of Westmont, IL, with the postal code 605591283.
What is Timothy A Kitley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy A Kitley'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 Timothy A Kitley receive its 1124213517 assignment from the Centers for Medicare & Medicaid Services?
The Timothy A Kitley was assigned its 1124213517 by the Centers for Medicare & Medicaid Services on 2007-09-10.
As of what date were the Timothy A Kitley's details last updated?
The information pertaining to the Timothy A Kitley, including its address, specialty, and other details, was most recently updated on 2020-01-03.