Keeth Marvin Lane in Robertsdale - General Practice

Keeth Marvin Lane - NPI 1780843284

Keeth Marvin Lane is a General Practice in Robertsdale, Alabama. Keeth Marvin Lane practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keeth Marvin Lane is 1780843284. The last update date is 2016-06-06.

Keeth Marvin Lane's current location address is 18100 Highway 104, Robertsdale, Alabama. You can contact this provider via phone number 2519475940 and fax number 2519475942. The mailing address for Keeth Marvin Lane is 18100 Highway 104, Robertsdale, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Keeth Marvin Lane
Address 18100 Highway 104, Robertsdale, Alabama
Phone Number 2519475940
Fax Number 2519475942
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1780843284
Provider Enumeration Date 2008-06-09
Last Updated Date 2016-06-06

Provider Mailing Address Detail

Address 18100 Highway 104
City Robertsdale
State Alabama (AL)
Post Code 365678734
Phone Number 2519475940
Fax Number 2519475942

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4306
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Keeth Marvin Lane

What is the unique 10-digit identifier code assigned to Keeth Marvin Lane by the Centers for Medicare & Medicaid Services?

The Keeth Marvin Lane has been issued the NPI (National Provider Identifier) 1780843284 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Keeth Marvin Lane's facilities are situated?

The facilities of Keeth Marvin Lane are physically located at the following address: 18100 Highway 104, Robertsdale, AL, 365678734.

What is the area of specialization for Keeth Marvin Lane, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Keeth Marvin Lane is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Keeth Marvin Lane receive its 1780843284 assignment from the Centers for Medicare & Medicaid Services?

The Keeth Marvin Lane was assigned its 1780843284 by the Centers for Medicare & Medicaid Services on 2008-06-09.

As of what date was the information regarding Keeth Marvin Lane, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Keeth Marvin Lane, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-06.

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