Individual
DR. KEITH DAVID STILLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MAGD
Contact information
Practice address
4301 W MARKHAM ST, SLOT 624, LITTLE ROCK, AR 72205-7101
(501) 686-8086
(501) 686-6855
Mailing address
4301 W. MARKHAM STREET, SLOT 624, LITTLE ROCK, AR 72205-7199
(501) 686-8086
(501) 686-6855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210
DENTAL LICENSE
AR
Enumeration date
04/21/2006
Last updated
03/07/2023
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