Alex Keith, DMD, Dental Corporation

Organization Active NPI Dental Clinic/Center · Placerville, CA

NPI 1154847622 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1154847622
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
100100 (CA)
Legal business name
ALEX KEITH, DMD, DENTAL CORPORATION
Practice address
4330 Golden Center Dr Ste a
Placerville, CA 95667-6232
Phone
(530) 642-8614
Fax
(530) 642-9314
NPI assigned
Aug 16, 2017
Organization subpart
No

Authorized official

Name
Dr. Alex Keith, DMD
Title
Owner
Phone
(510) 912-0923

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

4330 Golden Center Dr
Ste A
Placerville, CA 95667
Phone (510) 912-0923

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 100100 CA Yes

Addresses

Primary practice location

4330 Golden Center Dr Ste a
Placerville, CA 95667-6232

Mailing address

4330 Golden Center Dr Ste a
Placerville, CA 95667-6232
Phone (530) 642-8614

Other names

  • One Loose Tooth, Dental practice of Dr. Alex Keith Doing business as

Other providers in Placerville, CA

All providers in Placerville, CA · Dental Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.