Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Elissa Wirth, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700717048

Kathleen Elissa Wirth, DMD is a Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

824 NE 19th Ave
Fort Lauderdale, FL 33304-3081
Phone: (304) 303-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)

Record details

NPI number1700717048
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 26, 2026
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

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