NPI 1184903197 · live from the CMS NPI Registry
Keene Orthodontic Specialists
Dentist, Orthodontics and Dentofacial Orthopedics in Keene, NH. National Provider Identifier 1184903197, active.
NPI record
| NPI | 1184903197 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 105 West St, Keene, NH 03431 |
| Practice phone | 314-915-6210 |
| Enumerated | August 8, 2011 |
| Last updated | November 1, 2011 |
| Authorized official | Lance Miller, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.