| Carla M. Keene, D.d.s. | |
|
15189 Porterfield Highway Abingdon VA 24211 | |
| (276) 676-0070 | |
| (276) 676-0880 |
| Full Name | Carla M. Keene, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15189 Porterfield Highway, Abingdon, Virginia |
| Authorized Official Name and Position | Carla Marie Keene (DENTAL PRACTITIONER) |
| Authorized Official Contact | 2766760070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carla M. Keene, D.d.s. Po Box 287 Abingdon VA 24212-0287 Ph: (276) 676-0070 | Carla M. Keene, D.d.s. 15189 Porterfield Highway Abingdon VA 24211 Ph: (276) 676-0070 |
| NPI Number | 1407027402 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407027402 | NPI | - | NPPES |
| 1461995 | Other | VA | UNITED CONCORDIA |
| 178416 | Other | VA | ANTHEM |
| 9178537 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007589 (Virginia) | Primary |
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