B Clay Keith DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20688 Issued in TX

Legal business name

B CLAY KEITH DDS PA

Practice address

410 Eagle Spirit Drive
Lindale, TX 75771

Phone

(903) 882-6141

Fax

(903) 882-3558

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Baron Clay Keith, DDSNPI 1548435258

Title

Owner President

Phone

(903) 882-6141

Specialties & licenses 1

Addresses

Other names 1

• The Center for Implant and General Dentistry Doing business as

Locations

Practitioners 2

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

• Baron Clay Keith, D.D.S.

  • General Practice Dentistry
  • Lindale, TX
  • NPI 1548435258
  NPD (past) Authorized official
• Paul Sartain Denson, D.D.S.

  • General Practice Dentistry
  • Lindale, TX
  • NPI 1114199601
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1881745537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EAGLE SPIRIT DRIVE",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "75771",
            "telephone_number": "903-882-6141",
            "fax_number": "903-882-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 EAGLE SPIRIT DRIVE",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "75771",
            "telephone_number": "903-882-6141",
            "fax_number": "903-882-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B CLAY KEITH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "903-882-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Implant and General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda E. Martin PLLC
• Susan Ann Arias, COTA
• Jake Ashley
• Asn Speech Pathology
• Karen Austin, DC
• Misty Lynn Baggett, FNP-C
• Jan Charree Bailey
• Vicki Carol Bailey, PTA
• Russell Teal Bailiff, LCSW
• Chester Whitney Baird, PTA

• General Practice Dentistry in Lindale, TX
• Providers in Lindale, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.