Sheila Marie Kittell, D.D.S.

Individual provider Active NPI General Practice Dentistry · Denmark, WI

NPI 1619986635 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619986635
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5845-015 (WI)
Practice address
725 County Road R
Denmark, WI 54208-8519
Phone
(920) 863-2030
Fax
(920) 863-3816
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5845-015WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Denmark Family Dentistry, S.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5845-015 WI Yes

Addresses

Primary practice location

725 County Road R
Denmark, WI 54208-8519

Mailing address

725 County Road R
Denmark, WI 54208-8519
Phone (920) 863-2030

Other names

  • Sheila Marie Krejcarek Former name

Other providers in Denmark, WI

All providers in Denmark, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.