Keadle, John Scott

Keadle, John Scott is an individual health care provider with primary practice located at 118 Gateway Blvd Ste A , Mooresville NC 28117-6542. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keadle, John Scott can be contacted via phone (704) 639-1330.

Contact Information

Primary practice address
118 Gateway Blvd Ste A Mooresville NC 28117-6542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5925 North Carolina

Profile Details

NPI number 1477605442
LBN Legal business name Keadle, John Scott
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Sep 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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