Scott W. Keith, DDS & Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4350 Issued in AZ

Legal business name

SCOTT W. KEITH, DDS & ASSOCIATES, PC

Practice address

740 E Highland Ave
Suite 200
Phoenix, AZ 85014-3649

Phone

(602) 264-0707

Fax

(602) 266-8102

NPI assigned

Oct 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott William Keith, DDSNPI 1194842989

Title

President

Phone

(602) 264-0707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Scott William Keith, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1194842989
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1730368309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143649",
            "telephone_number": "602-264-0707",
            "fax_number": "602-266-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143649",
            "telephone_number": "602-264-0707",
            "fax_number": "602-266-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W. KEITH, DDS & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-264-0707",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918584",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott a Longfellow MD PLC
• Scott a. Simpson DDS PLLC
• Scott Holtz MD PC
• Scott K, Lee, DDS, PC
• Scott Thomas Suciu MD PLC
• Aaron Matthew Scott, MD
• Amanda Scott, BS, BHT
• Amanda Scott, LMT
• Amanda Brooke Scott, D.O.
• Andrea Dolores Scott

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.