Scott Keithley is a Dentist in Lodi, California. Scott Keithley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Scott Keithley is 1144318692. The last update date is 2007-07-08.
Scott Keithley's current location address is 630 S Fairmont Ave Ste C, Lodi, California. You can contact this provider via phone number 2093342211 and fax number 2093342221. The mailing address for Scott Keithley is 630 S Fairmont Ave Ste C, Lodi, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Scott Keithley |
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Address | 630 S Fairmont Ave Ste C, Lodi, California |
Phone Number | 2093342211 |
Fax Number | 2093342221 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1144318692 |
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Provider Enumeration Date | 2006-10-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 630 S Fairmont Ave Ste C |
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City | Lodi |
State | California (CA) |
Post Code | 952403803 |
Phone Number | 2093342211 |
Fax Number | 2093342221 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 31486 |
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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What is the unique identifier code issued to Scott Keithley by the Centers for Medicare & Medicaid Services?
The Scott Keithley has been assigned the NPI (National Provider Identifier) 1144318692. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Scott Keithley?
The Scott Keithley is physically situated at 630 S Fairmont Ave Ste C, in the city of Lodi, state of CA, with the postal code 952403803.
What is Scott Keithley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Scott Keithley is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When was the Scott Keithley's 1144318692 issued?
The Scott Keithley's 1144318692 was issued on 2006-10-10.
As of what date were the details related to Scott Keithley most recently updated or revised?
The information pertaining to Scott Keithley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.