| Keith J. Whittemore | |
|
3120 Kimball Ave Waterloo IA 50702-5272 | |
| (319) 232-1354 | |
| (319) 232-2082 |
| Full Name | Keith J. Whittemore |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3120 Kimball Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Keith J. Whittemore (OWNER) |
| Authorized Official Contact | 3192321354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith J. Whittemore 3120 Kimball Ave Waterloo IA 50702-5272 Ph: (319) 232-1354 | Keith J. Whittemore 3120 Kimball Ave Waterloo IA 50702-5272 Ph: (319) 232-1354 |
| NPI Number | 1972627362 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972627362 | NPI | - | NPPES |
| 0282517 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 07395 (Iowa) | Primary |
Christensen,christensen & Freeseman,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 847 W 4th St, Waterloo, IA 50702 Phone: 319-234-4486 Fax: 319-232-4913 | |
Olympic Dentistry, Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Olympic Dr, Waterloo, IA 50701 Phone: 319-234-3233 Fax: 319-234-3879 | |
Kimball & Beecher Cedar Rapids, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4015 Hurst Dr, Waterloo, IA 50701 Phone: 319-235-6287 Fax: 319-232-3171 | |
Vitzthum Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1866 W Ridgeway Ave, Waterloo, IA 50701 Phone: 319-235-0164 | |
James J. Cahill, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 Kimball Ave, Waterloo, IA 50702 Phone: 319-232-6804 Fax: 319-232-8396 | |
Thomas G. Friedman Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Thorndale Ave, Waterloo, IA 50701 Phone: 319-235-0164 Fax: 319-232-4799 | |
Benjamin R. Squires, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3308 Kimball Ave, Waterloo, IA 50702 Phone: 319-233-6177 Fax: 319-234-3906 |