OrganizationActive
Keith J. Whittemore
NPI 1972627362 · General Practice Dentistry · Waterloo, IA
Keith J. Whittemore is a General Practice Dentistry organization in Waterloo, IA (NPI 1972627362).
Provider details
- NPI number
- 1972627362
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Keith Whittemore, Owner(319) 232-1354
- License
- 07395 (IA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3120 Kimball Ave
Waterloo, IA 50702-5272
Phone: (319) 232-1354
Fax: (319) 232-2082
Street-level locationGet directions
Mailing address
3120 Kimball Ave
Waterloo, IA 50702-5272
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Keith J. Whittemore's NPI number?
- Keith J. Whittemore's National Provider Identifier (NPI) is 1972627362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keith J. Whittemore?
- Keith J. Whittemore is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Keith J. Whittemore located?
- Keith J. Whittemore's practice location on file with NPPES is 3120 Kimball Ave, Waterloo, IA 50702-5272.
- What is Keith J. Whittemore's phone number?
- The practice phone number listed in the NPPES registry for Keith J. Whittemore is (319) 232-1354.
- Who is the authorized official for Keith J. Whittemore?
- The authorized official listed on Keith J. Whittemore's NPPES record is Keith Whittemore, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keith J. Whittemore's NPI active?
- Yes — Keith J. Whittemore's NPI (1972627362) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.