Kristen Fitzwater
Dental Assistant
9000 Avonlea Pl Apt 303
Woodstock
, Georgia 30189-7139
Kristen Fitzwater
Dental Assistant
9000 Avonlea Pl Apt 303
Woodstock
, Georgia 30189-7139
(713) 391-7102
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Kristen Fitzwater
- 9000 Avonlea Pl Apt 303
- Woodstock, GA
- Zip : 30189-7139
- Phone : (713) 391-7102
Second Address
- Kristen Fitzwater
- 9000 Avonlea Pl Apt 303
- Woodstock, GA
- Zip : 30189-7139
- Phone : (713) 391-7102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1194489450 |
|---|---|
| Provider Name | Kristen Fitzwater |
| First Address | Woodstock, GA 30189-7139 |
| Second Address | Woodstock, GA 30189-7139 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2021 |
| Last Update Date | 23/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.