Provider Demographics
NPI:1013357979
Name:NESTE, KAITLIN JEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:JEAN
Last Name:NESTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KAITLIN
Other - Middle Name:JEAN
Other - Last Name:POPPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3637 NW BYRON ST
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9127
Mailing Address - Country:US
Mailing Address - Phone:360-692-9560
Mailing Address - Fax:360-692-1729
Practice Address - Street 1:360 TORMEY LN NE STE 198
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1990
Practice Address - Country:US
Practice Address - Phone:206-899-1737
Practice Address - Fax:206-629-9416
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60379179122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist