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General NPI Number Information
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NPI Number | 1548182025
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Entity Type | Organization
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Legal Business Name | KEITH DENTAL WESTPORT LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 104 ARCHIBALD ST
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City | KANSAS CITY
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State | MO
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Zip | 64111-2230
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Country | US
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Telephone | 816-531-0382
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Fax |
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Provider Business Mailing Address
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Address Line | 6299 NALL AVE STE 300
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City | MISSION
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State | KS
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Zip | 66202-3551
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Country | US
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Telephone | 913-384-0044
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM ROBERT KEITH
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Credential | DDS
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Telephone | 913-231-8894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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