| Alexander S Kita, Dds, Pa | |
|
3517 Jfk Blvd North Little Rock AR 72116-8839 | |
| (501) 758-9697 | |
| (501) 758-9699 |
| Full Name | Alexander S Kita, Dds, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3517 Jfk Blvd, North Little Rock, Arkansas |
| Authorized Official Name and Position | Alexander Stephen Kita (OWNER/DOCTOR) |
| Authorized Official Contact | 5017589697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander S Kita, Dds, Pa 3517 Jfk Blvd North Little Rock AR 72116-8839 Ph: (501) 758-9697 | Alexander S Kita, Dds, Pa 3517 Jfk Blvd North Little Rock AR 72116-8839 Ph: (501) 758-9697 |
| NPI Number | 1285220038 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285220038 | NPI | - | NPPES |
| 235252608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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