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NPI Code Detail

MEDICARE: DR. KIT WILLIAM HADDOW D.D.S.

MEDICARE:  DR. KIT WILLIAM HADDOW  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry104969CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992772859
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIT WILLIAM HADDOW D.D.S.
Provider Business Mailing Address
First Line : 1208 ORCHARD AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8509
Country : US
Telephone Number : 970-245-2990
Fax Number :
Provider Business Practice Location Address
First Line : 1208 ORCHARD AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8509
Country : US
Telephone Number : 970-245-2990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 07/09/2007

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Directions to “ DR. KIT WILLIAM HADDOW D.D.S.” Practice Location

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