Keith Raymon Acheson, DDS
Individual provider Active NPI General Practice Dentistry · Round Rock, TX
NPI 1275605487 · NPPES record last updated Mar 31, 2014
Key facts
- NPI
- 1275605487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0918 (TX)
- Practice address
- 309 W Liberty Avenue
Round Rock, TX 78664 - Phone
- (512) 331-7000
- Fax
- (512) 238-1312
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9801 | TX | MD | Professional Counselor |
| 0918 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0918 | TX | Yes |
Addresses
Primary practice location
309 W Liberty Avenue
Round Rock, TX 78664
Mailing address
309 W Liberty Avenue
Round Rock, TX 78664
Phone (512) 331-7000
Other providers in Round Rock, TX
- Ileana Miguelina Abreu
- Absr Dental Associates, PLLC
- Acaciawood Acupuncture
- Accord Home Care, Inc.
- Ace Jovanovski DMD PLLC
- Acorn Therapy, LLC
- Acre Wood Dental - Round Rock PA
- Shelly Acree
- Active Health Center, PC
- Meghan Acuna
All providers in Round Rock, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.