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NPI Code Detail

MEDICARE: DR. NATALIE THERESA KEENER DMD

MEDICARE: DR. NATALIE THERESA KEENER DMD
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
1122300000XDentist12252TN

General Provider Information

NPI Number : 1386321487
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATALIE THERESA KEENER DMD
Provider Business Mailing Address
First Line : 111 17TH AVE S APT 708
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2782
Country : US
Telephone Number : 571-594-9513
Fax Number :
Provider Business Practice Location Address
First Line : 4502 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3610
Country : US
Telephone Number : 615-647-8421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2023
Last Update Date : 06/29/2023

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