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Dr. Matthew Kelly Keider
General Practice Dentistry in Winston Salem, North Carolina
NPI 1720151400

Matthew Kelly Keider is a General Practice Dentistry based in Winston Salem, NC and is specialized in General Practice. Matthew Kelly Keider practices in Winston Salem, NC. The NPI Number for Matthew Kelly Keider is 1720151400 and holds a License No. 6236 (North Carolina).

The current practice location address for Matthew Kelly Keider is 3610 Westgate Center Cir, Winston Salem, NC and can be reached out via phone at 336-768-0480 and via fax at 336-760-5525.

Location: 3610 Westgate Center Cir, Winston Salem, NC, 27103-2935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720151400
Provider Name
Matthew Kelly Keider
Credential
Provider Entity Type
Individual
Gender
Male
Address
3610 Westgate Center Cir, Winston Salem, NC, 27103-2935
Phone Number
336-768-0480
Fax Number
336-760-5525
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902884943 01 NC NPI - NATIONAL PROVIDER
131195 01 NC UNITED CONCORDIA PROV #
94792 01 NC BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3610 Westgate Center Cir
City
Winston Salem
State
North Carolina
Zip
27103-2935
Phone Number
336-768-0480
Fax Number
336-760-5525
person
Provider Business Mailing Address Details
Address
3610 Westgate Center Cir
City
Winston Salem
State
North Carolina
Zip
27103-2935
Phone Number
336-768-0480
Fax Number
336-760-5525
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6236 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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