NPI 1992955249 · live from the CMS NPI Registry
Keith W. Street DMD LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Anderson, SC. National Provider Identifier 1992955249, active.
NPI record
| NPI | 1992955249 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 110 Buford Ave, Anderson, SC 29621 |
| Practice phone | 864-224-2526 |
| Enumerated | September 23, 2008 |
| Last updated | September 23, 2008 |
| Authorized official | Keith Street, Orthodontist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2894 SPEC 0391 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.