# KITCHIN DENTISTRY, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kitchin Cosmetic and Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053821991
- **Authorized official:** DR. ALBERT LLOYD KITCHIN III DMD (OWNER / PRESIDENT)
- **Authorized official phone:** (973) 584-2533

## Contact information

- **Practice address:** 40 MAIN STREET, SUITE 101, SUCCASUNNA, NJ 07876
- **Practice address phone:** (973) 584-2533
- **Practice address fax:** (973) 584-4363
- **Mailing address:** 40 MAIN STREET, SUITE 101, SUCCASUNNA, NJ 07876
- **Mailing address phone:** (973) 584-2533
- **Mailing address fax:** (973) 584-4363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01384200 | NJ | Yes |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 10/05/2017
