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Contact Information

SHANDRA L KEITH, DMD
2305 ARLINGTON AVE S
BIRMINGHAM, AL35205
 Phone: 205-930-0705
 Fax: 205-930-0809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SHANDRA L KEITH · (Female)

NPI # 1265532733
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 09/25/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 4522
  • AL Medicaid 000092680
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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