Individual
DR. KEITH ROBERT FETTEROLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
142 SHENSTONE BLVD, GARNER, NC 27529-6902
(919) 329-6101
(717) 233-7729
Mailing address
142 SHENSTONE BLVD, GARNER, NC 27529-6902
(919) 329-6101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12642
NC
Other
Enumeration date
02/27/2007
Last updated
09/19/2025
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