Douglas B Keck in New Haven - Pediatric Dentistry
Douglas B Keck - NPI 1710988704
Douglas B Keck is a Pediatric Dentistry in New Haven, Connecticut. Douglas B Keck practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Douglas B Keck is 1710988704. The last update date is 2013-03-26.
Douglas B Keck's current location address is 991 State St, New Haven, Connecticut. You can contact this provider via phone number 2037873669 and fax number 2037858416. The mailing address for Douglas B Keck is 991 State St, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas B Keck |
|---|---|
| Address | 991 State St, New Haven, Connecticut |
| Phone Number | 2037873669 |
| Fax Number | 2037858416 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1710988704 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2013-03-26 |
Provider Mailing Address Detail
| Address | 991 State St |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65113993 |
| Phone Number | 2037873669 |
| Fax Number | 2037858416 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7814 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique provider identifier assigned to Douglas B Keck?
The Douglas B Keck has been issued the NPI (National Provider Identifier) 1710988704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Douglas B Keck?
The Douglas B Keck is physically situated at 991 State St, in the city of New Haven, state of CT, with the postal code 65113993.
What is Douglas B Keck's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas B Keck is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710988704 to Douglas B Keck?
The Douglas B Keck received its 1710988704 assignment from the Centers for Medicare & Medicaid Services on 2005-08-02.
When was the information pertaining to Douglas B Keck most recently updated or revised?
The details related to Douglas B Keck, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-26.
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