Keith, George W
Keith, George W is an individual health care provider with primary practice located at 300 Se Hollywood Blvd , Ft Walton Beach FL 32548. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Keith, George W can be contacted via phone (850) 243-4723.Contact Information
Primary practice address
300 Se Hollywood Blvd
Ft Walton Beach FL 32548
Phone: (850) 243-4723
Fax: (850) 243-0184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN4336 | Florida |
Profile Details
| NPI number | 1679781033 |
|---|---|
| LBN Legal business name | Keith, George W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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