Keith J. Whittemore

LBN: Keith J. Whittemore
Keith J. Whittemore is an health care organization with primary practice located at 3120 Kimball Ave , Waterloo IA 50702-5272. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Keith J. Whittemore can be contacted via phone (319) 232-1354, or through Whittemore, Keith J. via phone (319) 232-1354.

Contact Information

Primary practice address
3120 Kimball Ave Waterloo IA 50702-5272
Phone: (319) 232-1354
Fax: (319) 232-2082
Website:
Map and Directions
Authorized official contact:
Name: Whittemore, Keith J. Doctor of Dental Surgery (DDS)
Phone: (319) 232-1354

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 07395 Iowa

Profile Details

NPI number 1972627362
LBN Legal business name Keith J. Whittemore
DBA Doing business as
Authorized official Whittemore, Keith J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972627362 NPPES
Iowa MEDICAID 0282517

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