Keithline, Charles R.

Keithline, Charles R. is an individual health care provider with primary practice located at 1421 E 13Th St , Tulsa OK 74120-5207. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Keithline, Charles R. can be contacted via phone (918) 585-3744.

Contact Information

Primary practice address
1421 E 13Th St Tulsa OK 74120-5207
Fax: (918) 585-3774
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3942 Oklahoma

Profile Details

NPI number 1932269933
LBN Legal business name Keithline, Charles R.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
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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