# CARLA M. KEENE, D.D.S.

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

## Provider details

- **NPI number:** 1407027402
- **Authorized official:** DR. CARLA MARIE KEENE D.D.S. (DENTAL PRACTITIONER)
- **Authorized official phone:** (276) 676-0070

## Contact information

- **Practice address:** 15189 PORTERFIELD HIGHWAY, ABINGDON, VA 24211
- **Practice address phone:** (276) 676-0070
- **Practice address fax:** (276) 676-0880
- **Mailing address:** PO BOX 287, ABINGDON, VA 24212-0287
- **Mailing address phone:** (276) 676-0070
- **Mailing address fax:** (276) 676-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007589 | VA | Yes |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 10/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1461995 | UNITED CONCORDIA | VA |
| 01 | — | 178416 | ANTHEM | VA |
| 05 | — | 9178537 | — | VA |