Organization
SCOTT W. KEITH, DDS & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIAM KEITH DDS (PRESIDENT)
(602) 264-0707
Entity
Organization
Contact information
Practice address
740 E HIGHLAND AVE, SUITE 200, PHOENIX, AZ 85014-3649
(602) 264-0707
(602) 266-8102
Mailing address
740 E HIGHLAND AVE, SUITE 200, PHOENIX, AZ 85014-3649
(602) 264-0707
(602) 266-8102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4350
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918584
—
AZ
Enumeration date
10/30/2007
Last updated
10/30/2007
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