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Kaitlin Anne Jasper, DDS

Dentist, General Practice in South Milwaukee, WI. Individual provider (NPI-1).

NPI number1336764281
StatusActive
Last updated in NPPESOct 23, 2020

Details

NPI
1336764281
Entity type
Individual (NPI-1)
Name
Kaitlin Anne Jasper
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 16, 2020
Certification date
Oct 23, 2020
Last updated
Oct 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice1002351WIYes

Practice location

1001 Madison Ave
South Milwaukee, WI 53172-2500

Phone 414-764-6760

Mailing address

1001 Madison Ave
South Milwaukee, WI 53172-2500

Phone 414-764-6760

Other practice locations

1947 S 60th St
West Allis, WI 53219-1552

Phone 414-545-6747

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