Russell 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.