# KEITH G KORDSMEIER DDS PA

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

## Provider details

- **NPI number:** 1275681702
- **Authorized official:** KEITH G KORDSMEIER D.D.S. (OWNER)
- **Authorized official phone:** (336) 272-6235

## Contact information

- **Practice address:** 104 W NORTHWOOD ST, STE C, GREENSBORO, NC 27401-1326
- **Practice address phone:** (336) 272-6235
- **Mailing address:** 104 W NORTHWOOD ST, STE C, GREENSBORO, NC 27401-1326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NC 7724 | NC | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020