KEITHLINE DIGITAL IMAGING LLC NPI 1467680231

NPI Information

  • NPI: 1467680231
  • Provider Name: KEITHLINE DIGITAL IMAGING LLC
  • Classification: Dentist - 1223X0008X
  • Specialization: Oral and Maxillofacial Radiology
  • Entity Type: Organization
  • Doing Business As: UTICA IMAGING
  • Address: 1421 E 13TH ST
    TULSA, OK
    ZIP 74120
  • Phone: (918) 585-3744

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NPI Details

KEITHLINE DIGITAL IMAGING LLC is an oral and maxillofacial radiology dentist in Tulsa, OK. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. KEITHLINE DIGITAL IMAGING LLC NPI is 1467680231. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Utica Imaging.

The provider's business location address is:

1421 E 13TH ST
TULSA, OK
ZIP 74120-207
Phone: (918) 585-3744
Fax: (918) 585-3774

The provider's authorized official is Charles R Keithline .
The authorized official title is Owner and has the following contact phone number (918) 585-3744.

The enumeration date for this NPI number is 6/30/2009 and was last updated on 6/30/2009.

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
11223X0008XDentistOral and Maxillofacial Radiology784OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100635530CMEDICAIDOKLAHOMA

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: 11/21/2025

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