Provider Demographics
NPI:1598118069
Name:STEVEN T. KITTS DDS PLLC
Entity Type:Organization
Organization Name:STEVEN T. KITTS DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:KITTS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-494-0121
Mailing Address - Street 1:1417 LAKESIDE CT
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-7354
Mailing Address - Country:US
Mailing Address - Phone:509-494-0121
Mailing Address - Fax:509-494-0171
Practice Address - Street 1:1417 LAKESIDE CT
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-7354
Practice Address - Country:US
Practice Address - Phone:509-494-0121
Practice Address - Fax:509-494-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty