Dr. Keith T. Macdonald
Organization Active NPI General Practice Dentistry · Archdale, NC
NPI 1316116205 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1316116205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4921 (NC)
- Legal business name
- DR. KEITH T. MACDONALD
- Practice address
- 9924 US Highway 311
Archdale, NC 27263-8826 - Phone
- (336) 434-3186
- Fax
- (336) 434-3189
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Keith Thomas Macdonald, D.D.S.
- Title
- President
- Phone
- (336) 434-3186
Practitioners 4
-
Daniel John Macdonald, D.M.D.
-
Keith Thomas Macdonald, D.D.S.
-
Tesha M Whaley, DDS
National Provider Directory
Locations
9924 US Highway 311
Archdale, NC 27263
Phone (336) 434-3186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4921 | NC | Yes |
Addresses
Primary practice location
9924 US Highway 311
Archdale, NC 27263-8826
Mailing address
9924 US Highway 311
Archdale, NC 27263-8826
Phone (336) 434-3186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95437 | Other | NC | BCBS |
Other providers in Archdale, NC
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- Carlie Desjardins
- Juliana Digirolamo
- Michele Duvall
- William Tyler Earnst
- Easter Seals Ucp North Carolina & Virginia
- Eckerd Corporation
- Cynthia Dee Edwards
All providers in Archdale, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. 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.