| Martha Ann Keels Dds, Phd, Pa | |
|
2711 N Duke St Durham NC 27704-2619 | |
| (919) 220-1416 | |
| (919) 220-6936 |
| Full Name | Martha Ann Keels Dds, Phd, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2711 N Duke St, Durham, North Carolina |
| Authorized Official Name and Position | Martha Ann Keels (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9196192056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Ann Keels Dds, Phd, Pa 2711 N Duke St Durham NC 27704-2619 Ph: (919) 220-1416 | Martha Ann Keels Dds, Phd, Pa 2711 N Duke St Durham NC 27704-2619 Ph: (919) 220-1416 |
| NPI Number | 1720465354 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720465354 | NPI | - | NPPES |
| 8994781 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5288 (North Carolina) | Primary |
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