Individual
DR. JOHN SCOTT KEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
118 GATEWAY BLVD STE A, MOORESVILLE, NC 28117-6542
(704) 639-1330
Mailing address
18204 MAINSAIL POINTE DR, CORNELIUS, NC 28031-5198
(704) 650-0249
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5925
NC
Other
Enumeration date
01/18/2007
Last updated
09/15/2021
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