Theodore, Keith Felix
Theodore, Keith Felix is an sole proprietor health care provider with primary practice located at 16729 Queen Anne Rd , Upper Marlboro MD 20774-8754. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Theodore, Keith Felix can be contacted via phone (301) 613-2430.Contact Information
Primary practice address
16729 Queen Anne Rd
Upper Marlboro MD 20774-8754
Phone: (301) 613-2430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7399 | Maryland |
Profile Details
| NPI number | 1902108897 |
|---|---|
| LBN Legal business name | Theodore, Keith Felix |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2010 |
| Last updated | Nov 26th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902108897 | NPPES |
| Maryland | MEDICAID | 1164519385 |
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