Organization Active NPI

Kitchin Dentistry, PA

Doing business as Kitchin Cosmetic and Family Dentistry

  • General Practice Dentistry
  • Succasunna, NJ
National Provider Identifier
1053821991
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01384200 Issued in NJ
Legal business name
KITCHIN DENTISTRY, PA
Doing business as
Kitchin Cosmetic and Family Dentistry
Practice address
40 Main Street
Suite 101
Succasunna, NJ 07876
Phone
(973) 584-2533
Fax
(973) 584-4363
NPI assigned
Oct 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Albert Lloyd Kitchin III, DMD
Title
Owner / President
Phone
(973) 584-2533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI01384200 NJ Primary

Addresses

Primary practice location

40 Main Street
Suite 101
Succasunna, NJ 07876

Mailing address

40 Main Street
Suite 101
Succasunna, NJ 07876
Phone (973) 584-2533

Other names 1

  • Kitchin Cosmetic and Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

40 Main St
Ste 101
Succasunna, NJ 07876
Phone (973) 584-2533

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1053821991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN STREET",
            "address_2": "SUITE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-584-2533",
            "fax_number": "973-584-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN STREET",
            "address_2": "SUITE 101",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "07876",
            "telephone_number": "973-584-2533",
            "fax_number": "973-584-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITCHIN DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "KITCHIN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "973-584-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01384200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kitchin Cosmetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.