MEDICARE: DR. JOHN KEITH PAUL III DDS

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
1	1223G0001X	General Practice Dentistry	14971	TX

General Provider Information

NPI Number	:	1497742654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN KEITH PAUL III DDS

Provider Business Mailing Address
First Line	:	2050 A SECOND ST. SE
Second Line	:	377 MDG
City	:	KIRTLAND AFB
State	:	NM
Zip	:	87117-5522
Country	:	US
Telephone Number	:	505-846-3055
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 A SECOND ST. SE
Second Line	:	377 MDG
City	:	KIRTLAND AFB
State	:	NM
Zip	:	87117-5522
Country	:	US
Telephone Number	:	505-846-3055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	08/05/2008

Similar Medicare Providers

1437158896 — SUSAN ROBERTS D.O.
Practice Location Address:

2050A 2ND ST SE
KIRTLAND AFB, NM
87117-5522

Practice Phone: 505-846-3200
Practice Fax:

1144214677 — DR. BRANDON CLINT MD
Practice Location Address:

377 TH MEDICAL GROUP , 2050A SECOND STREET SE
KIRTLAND AFB, NM
87117-5522

Practice Phone: 505-846-2193
Practice Fax:

1376530964 — DR. THOMAS O'NEAL MOORE M.D.
Practice Location Address:

377 MDG , 2050A SECOND ST SE
KIRTLAND AFB, NM
87117-5522

Practice Phone: 505-846-1186
Practice Fax:

1457340945 — RACHEL JANE DARNELL-MILLER LCSW
Practice Location Address:

2050 A 2ND STREET SE
KIRTLAND AFB, NM
87117-5522

Practice Phone: 505-846-3305
Practice Fax:

1568451938 — DR. IRENE FOLARON
Practice Location Address:

2050A 2ND ST SE
KIRTLAND AFB, NM
87117-5522

Practice Phone: 505-846-3200
Practice Fax:

1497739098 — DR. KENNETH EGERSTROM MD
Practice Location Address:

2050A 2ND ST SE
KIRTLAND AFB, NM
87117-5522

Practice Phone: 505-846-7695
Practice Fax:

Directions to “ DR. JOHN KEITH PAUL III DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.