Parris John Kitt, DDS
Individual provider Active NPI General Practice Dentistry · Flint, TX
NPI 1174614739 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1174614739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 18179 (TX)
- Practice address
- 10752 FM 2813
Flint, TX 75762-3730 - Phone
- (903) 561-4477
- Fax
- (903) 561-4475
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18179 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parris J Kitt, DDS,PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18179 | TX | Yes |
Addresses
Primary practice location
10752 FM 2813
Flint, TX 75762-3730
Mailing address
1445 Holly Star Dr
Tyler, TX 75703-0977
Phone (903) 939-9942
Other providers in Flint, TX
- Lisa Inthavilay
- Jessie Lee Jobe
- John G. Enloe, DDS, PLLC
- Brenda Amaya Karagozian
- Lauren Ashley Keller
- Anna Kuklina
- Lactation Solutions
- Christi Lynn Lawson
- Mackenzie Leath
- Aimee Elise Lewis
All providers in Flint, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.