KKTZ DENTAL PLLC
NPI 1912643578
Dentist - General Practice in Lake Havasu City, AZ

Q: What is Kktz Dental PLLC's NPI number?

The NPI number for Kktz Dental PLLC is 1912643578. It was assigned to this organization in the NPPES registry on May 6, 2022.

Q: What is Kktz Dental PLLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kktz Dental PLLC was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 06, 2022

2277 SWANSON AVE STE E, LAKE HAVASU CITY, AZ 86403(928) 680-6222 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kktz Dental Pllc NPPES

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

KKTZ DENTAL PLLC (NPI 1912643578) is a healthcare organization registered as a general practice in Lake Havasu City, Arizona and active in the NPI registry since May 2022. The organization lists Gayle Jennings, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912643578

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKKTZ DENTAL PLLC

Location Address2277 SWANSON AVE STE ELake Havasu City, AZ 86403-5991

Mailing Address2277 Swanson Ave Ste ELake Havasu City, AZ 86403-5991

Phone(928) 680-6222

Organization SubpartNo

Authorized OfficialGayle JenningsOffice Manager · (928) 577-2533

Enumeration DateMay 6, 2022

NPPES CertifiedMay 6, 2022

✔ NPI 1912643578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

2277 SWANSON AVE STE E, Lake Havasu City, AZ 86403

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kktz Dental PLLC's NPI number?

The NPI number for Kktz Dental PLLC is 1912643578. It was assigned to this organization in the NPPES registry on May 6, 2022.

Where is Kktz Dental PLLC located?

Kktz Dental PLLC is located at 2277 Swanson Ave Ste E, Lake Havasu City, AZ 86403. The listed phone number is (928) 680-6222.

What is Kktz Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kktz Dental PLLC was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.