# SCOTT W. KEITH, DDS & ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1730368309
- **Authorized official:** SCOTT WILLIAM KEITH DDS (PRESIDENT)
- **Authorized official phone:** (602) 264-0707

## Contact information

- **Practice address:** 740 E HIGHLAND AVE, SUITE 200, PHOENIX, AZ 85014-3649
- **Practice address phone:** (602) 264-0707
- **Practice address fax:** (602) 266-8102
- **Mailing address:** 740 E HIGHLAND AVE, SUITE 200, PHOENIX, AZ 85014-3649
- **Mailing address phone:** (602) 264-0707
- **Mailing address fax:** (602) 266-8102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4350 | AZ | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 918584 | — | AZ |