KEITH J WHITTEMORE D.D.S.
NPI 1306987789
Dentist - General Practice in Waterloo, IA

Active since February 09, 2007
3120 KIMBALL AVE, WATERLOO, IA 50702(319) 232-1354(319) 232-2082 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith J Whittemore D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH J WHITTEMORE D.D.S. (NPI 1306987789) is an individual general practice provider in Waterloo, Iowa, licensed in Iowa (07395) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306987789
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEITH J WHITTEMORECredential: D.D.S.
Location Address3120 KIMBALL AVEWaterloo, IA 50702-5272
Mailing Address3120 Kimball AveWaterloo, IA 50702-5272 · (319) 232-1354 · Fax (319) 232-2082
Fax(319) 232-2082
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1306987789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 07395
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3120 KIMBALL AVE, Waterloo, IA 50702

Other Identifiers 1

Medicaid0282517IA

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3120 KIMBALL AVE
WATERLOO, IA 50702
Community/Behavioral Health
3120 KIMBALL AVE, SUITE B & C
WATERLOO, IA 50702
Dentist
3120 KIMBALL AVE
WATERLOO, IA 50702
Dentist (General Practice)
3120 KIMBALL AVE
WATERLOO, IA 50702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Whittemore's NPI number?

The NPI number for Keith Whittemore is 1306987789. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Keith Whittemore located?

Keith Whittemore practices at 3120 Kimball Ave, Waterloo, IA 50702. The listed phone number is (319) 232-1354.

What is Keith Whittemore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Keith Whittemore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 13 other insurers list Keith Whittemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Whittemore was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.