A. Keith Lethco D.M.D.,P.a.
Organization Active NPI Dentist · Greenwood, SC
NPI 1730220146 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1730220146
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 2737 (SC)
- Legal business name
- A. KEITH LETHCO D.M.D.,P.A.
- Practice address
- 1815 Montague Avenue Ext
Suite 4
Greenwood, SC 29649-7501 - Phone
- (864) 223-2433
- Fax
- (864) 223-3896
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Keith Lethco, D.M.D.
- Title
- President
- Phone
- (864) 223-2433
Practitioners 1
-
Andrew Keith Lethco, DMD
National Provider Directory
Locations
1815 Montague Avenue Ext
Unit 4
Greenwood, SC 29649
Phone (864) 223-2433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 2737 | SC | Yes |
Addresses
Primary practice location
1815 Montague Avenue Ext
Suite 4
Greenwood, SC 29649-7501
Mailing address
1815 Montague Avenue Ext
Suite 4
Greenwood, SC 29649-7501
Phone (864) 223-2433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZ2737 | Medicaid | SC | |
| 1205918174 | Other | SC | INDIVIDUAL NPI NUMBER |
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.