Russell Theodore Kittleson
DDS | Dentist
10521 N Port Washington Rd # 13w, Mequon
Wisconsin, 53092-5584
262-241-3142 262-241-3634
Maps & DirectionsRussell Theodore Kittleson is a Mequon, Wisconsin based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Russell Theodore Kittleson is
4001404 for Dentistry in Wisconsin. His current practice location is
10521 N Port Washington Rd # 13w, Mequon. Patients can reach him at
262-241-3142.
Russell Theodore Kittleson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Russell Theodore Kittleson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Russell Theodore Kittleson |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 10521 N Port Washington Rd # 13w, Mequon,
Wisconsin, 53092-5584 |
| Phone: | 262-241-3142 |
| Fax: | 262-241-3634 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1528264819 |
| NPI Enumeration Date: | 22 Jun, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Theodore Kittleson are as mentioned below.
| License Number | Specialization | State | Status | |
| 4001404 | Dentistry | Wisconsin | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10521 N Port Washington Rd # 13w,
Mequon, Wisconsin |
| Zip: | 53092-5584 |
| Phone Number: | 262-241-3142 |
| Fax Number: | 262-241-3634 |
Patients can reach Russell Theodore Kittleson at
10521 N Port Washington Rd # 13w, Mequon, Wisconsin or can
call to book an appointment on 262-241-3142.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.