Provider Demographics
NPI:1629416508
Name:KITCHIN, PAUL CLIFFORD III (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CLIFFORD
Last Name:KITCHIN
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 MATTAPONI LN
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-3650
Mailing Address - Country:US
Mailing Address - Phone:540-775-2201
Mailing Address - Fax:
Practice Address - Street 1:7450 MATTAPONI LN
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-3650
Practice Address - Country:US
Practice Address - Phone:540-775-2201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004878122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist