Stillwell, Keith David
Stillwell, Keith David is an individual health care provider with primary practice located at 4301 W Markham St Slot 624, Little Rock AR 72205-7101. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stillwell, Keith David can be contacted via phone (501) 686-8086.Contact Information
Primary practice address
4301 W Markham St Slot 624
Little Rock AR 72205-7101
Phone: (501) 686-8086
Fax: (501) 686-6855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3210 | Arkansas |
Profile Details
| NPI number | 1306802285 |
|---|---|
| LBN Legal business name | Stillwell, Keith David |
| Credentials | DDS, MAGD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306802285 | NPPES |
| Arkansas | Other | 3210 | DENTAL LICENSE |
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