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KITCHENS' PEDIATRIC DENTISTRY P.A. NPI 1043305170


NPI Information

NPI: 1043305170
Provider Name: KITCHENS' PEDIATRIC DENTISTRY P.A.
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10310 W MARKHAM ST
SUITE 202
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 223-0822
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KITCHENS' PEDIATRIC DENTISTRY P.A. is a pediatric dentistry dentist in Little Rock, AR. The provider is 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. KITCHENS' PEDIATRIC DENTISTRY P.A. NPI is 1043305170. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10310 W MARKHAM ST
SUITE 202
LITTLE ROCK, AR
ZIP 72205-175
Phone: (501) 223-0822
Fax: (501) 221-9420

The provider's authorized official is Clovis Andy Kitchens .
The authorized official title is President and has the following contact phone number (501) 223-0822.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry3512ARKANSASNo
21223P0221XDentistPediatric Dentistry3186ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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