Keith David Stillwell in Little Rock - Dentist
Keith David Stillwell - NPI 1306802285
Keith David Stillwell is a Dentist in Little Rock, Arkansas. Keith David Stillwell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith David Stillwell is 1306802285. The last update date is 2023-03-07.
Keith David Stillwell's current location address is 4301 W. Markham Street, Little Rock, Arkansas. You can contact this provider via phone number 5016868086 and fax number 5016866855. The mailing address for Keith David Stillwell is 4301 W. Markham Street, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith David Stillwell |
|---|---|
| Address | 4301 W. Markham Street, Little Rock, Arkansas |
| Phone Number | 5016868086 |
| Fax Number | 5016866855 |
| Sole Proprietor | N |
| Credentials | DDS, MAGD |
NPI Number Detail
| NPI Number | 1306802285 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 4301 W. Markham Street |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722057199 |
| Phone Number | 5016868086 |
| Fax Number | 5016866855 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3210 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3210 | AR | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Keith David Stillwell by the Centers for Medicare & Medicaid Services (CMS)?
The Keith David Stillwell has been assigned the NPI (National Provider Identifier) 1306802285. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Keith David Stillwell's physical address?
The Keith David Stillwell is physically located at 4301 W. Markham Street, in the city of Little Rock, AR, with the postal code 722057199.
What is the area of specialization for Keith David Stillwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Keith David Stillwell is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did Keith David Stillwell receive its 1306802285 assignment from the Centers for Medicare & Medicaid Services?
The Keith David Stillwell was assigned its 1306802285 on 2006-04-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Keith David Stillwell most recently updated or refreshed?
The details pertaining to the Keith David Stillwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.