# KEYSTONE DENTAL CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083300222
- **Authorized official:** CAROLINE BROOK BEGLEY RDA (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (423) 461-0798

## Contact information

- **Practice address:** 603 BERT ST STE 206, JOHNSON CITY, TN 37601-5872
- **Practice address phone:** (423) 232-7919
- **Mailing address:** 603 BERT ST STE 206, JOHNSON CITY, TN 37601-5872
- **Mailing address phone:** (423) 232-7919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/12/2023