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Keith J. Whittemore
General Practice Dentistry in Waterloo, Iowa
NPI 1972627362

Keith J. Whittemore is a General Practice Dentistry based in Waterloo, IA and is specialized in General Practice. Keith J. Whittemore practices in Waterloo, IA. The NPI Number for Keith J. Whittemore is 1972627362 and holds a License No. 07395 (Iowa).

The current practice location address for Keith J. Whittemore is 3120 Kimball Ave, Waterloo, IA and can be reached out via phone at 319-232-1354 and via fax at 319-232-2082.

Location: 3120 Kimball Ave, Waterloo, IA, 50702-5272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972627362
Provider Name
Keith J. Whittemore
Credential
Provider Entity Type
Organization
Address
3120 Kimball Ave, Waterloo, IA, 50702-5272
Phone Number
319-232-1354
Fax Number
319-232-2082
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0282517 05 IA
institution
Provider Business Practice Location Address Details
Address
3120 Kimball Ave
City
Waterloo
State
Iowa
Zip
50702-5272
Phone Number
319-232-1354
Fax Number
319-232-2082
person
Provider Business Mailing Address Details
Address
3120 Kimball Ave
City
Waterloo
State
Iowa
Zip
50702-5272
Phone Number
319-232-1354
Fax Number
319-232-2082
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
07395 (Iowa)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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