Individual
DR. KEITH ERIC MCINTOSH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12450 CLEVELAND RD STE 100, GARNER, NC 27529-8355
(919) 772-9927
(919) 772-0647
Mailing address
12450 CLEVELAND RD STE 100, GARNER, NC 27529-8355
(919) 772-9927
(919) 772-0647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13483
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2023
Last updated
01/24/2024
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