| Keystone Dental Care, Inc | |
|
603 Bert St Ste 206 Johnson City TN 37601-5872 | |
| (423) 232-7919 | |
| Not Available |
| Full Name | Keystone Dental Care, Inc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 603 Bert St Ste 206, Johnson City, Tennessee |
| Authorized Official Name and Position | Caroline Brook Begley (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4234610798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Dental Care, Inc 603 Bert St Ste 206 Johnson City TN 37601-5872 Ph: (423) 232-7919 | Keystone Dental Care, Inc 603 Bert St Ste 206 Johnson City TN 37601-5872 Ph: (423) 232-7919 |
| NPI Number | 1083300222 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083300222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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