Dr Keith L Rosdahl, DDS, PC - Dentist in Prescott, AZ

Dr Keith L Rosdahl, DDS, PC is a Dentist - General Practice based in Prescott, Arizona. Dr Keith L Rosdahl is licensed to practice in Arizona (license number D4345) and his current practice location is 1959 Commerce Center Cir., Prescott, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 771-8166.

NPI number for Dr Keith L Rosdahl is 1073791919 and his current mailing address is 1959 Commerce Center Cir, Prescott, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073791919.

Contact Information

Dr Keith L Rosdahl, DDS, PC
1959 Commerce Center Cir.,
Prescott, AZ 86301
(928) 771-8166
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Keith L Rosdahl
GenderMale
SpecialityDentist - General Practice
Location1959 Commerce Center Cir., Prescott, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073791919
  • Provider Enumeration Date: 02/02/2008
  • Last Update Date: 10/13/2011

Medical Identifiers

Medical identifiers for Dr Keith L Rosdahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073791919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D4345 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith L Rosdahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Keith L Rosdahl, DDS, PC
1959 Commerce Center Cir,
Prescott, AZ 86301-7419

Ph: (928) 771-8166
Dr Keith L Rosdahl, DDS, PC
1959 Commerce Center Cir.,
Prescott, AZ 86301

Ph: (928) 771-8166

Reviews and Comments


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