John S. Kittrell, DDS, PLLC
Dentist, General Practice in Henrico, VA. Organization (NPI-2).
NPI number1982156204
StatusActive
Last updated in NPPESApr 17, 2017
Details
- NPI
- 1982156204
- Entity type
- Organization (NPI-2)
- Legal business name
- John S. Kittrell, DDS, PLLC
- Organization subpart
- Yes
- Enumeration date
- Nov 3, 2016
- Last updated
- Apr 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
8804 Patterson AveHenrico, VA 23229-6361
Phone 804-740-7212
Mailing address
8804 Patterson AveHenrico, VA 23229-6361
Phone 804-740-7212
Authorized official
Lauri Henderson
Administrative Assistant
8043634283
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