ALEX KEITH DMD DENTAL CORPORATION NPI 1154847622

NPI Information

NPI: 1154847622
Provider Name: ALEX KEITH, DMD, DENTAL CORPORATION

Doing Business As: ONE LOOSE TOOTH, DENTAL PRACTICE OF DR. ALEX KEITH

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4330 GOLDEN CENTER DR STE A
PLACERVILLE, CA
ZIP 95667
Phone: (530) 642-8614
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ALEX KEITH, DMD, DENTAL CORPORATION is a dental clinic center in Placerville, CA. ALEX KEITH, DMD, DENTAL CORPORATION NPI is 1154847622. The provider is registered as an organization entity type.
The provider Is Doing Business As One Loose Tooth, Dental Practice Of Dr. Alex Keith.

The provider's business location address is:

4330 GOLDEN CENTER DR STE A
PLACERVILLE, CA
ZIP 95667-232
Phone: (530) 642-8614
Fax: (530) 642-9314

The provider's authorized official is Alex Keith .
The authorized official title is Owner and has the following contact phone number (510) 912-0923.

The enumeration date for this NPI number is 8/16/2017 and was last updated on 8/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	100100	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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