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NPI Code Detail

MEDICARE: DR. JAMES M KEETON JR. D.M.D.

MEDICARE:  DR. JAMES M KEETON JR. D.M.D.
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
11223P0221XPediatric Dentistry0401004876VA

General Provider Information

NPI Number : 1619054939
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES M KEETON JR. D.M.D.
Provider Business Mailing Address
First Line : 7410 HULL STREET RD
Second Line :
City : RICHMOND
State : VA
Zip : 23235-5834
Country : US
Telephone Number : 804-745-0100
Fax Number : 804-745-5249
Provider Business Practice Location Address
First Line : 7410 HULL STREET RD
Second Line :
City : RICHMOND
State : VA
Zip : 23235-5834
Country : US
Telephone Number : 804-745-0100
Fax Number : 804-745-5249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAMES M KEETON JR. D.M.D.” Practice Location

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