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NPI Code Detail

MEDICARE: DR. KEITH CHARLES CARVER D.M.D., M.D., M.S.

MEDICARE: DR. KEITH CHARLES CARVER D.M.D., M.D., M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics3962SC
22085R0202XDiagnostic Radiology Physician95779SC
32085R0202XDiagnostic Radiology Physician35.131775OH

General Provider Information

NPI Number : 1588778344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH CHARLES CARVER D.M.D., M.D., M.S.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 1210 W FARIS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4444
Country : US
Telephone Number : 864-522-1800
Fax Number : 864-522-1806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 02/02/2026

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