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Dr. Keith Wayne Matheny, DDS
General Practice Dentistry in Kent, Washington
NPI 1922087428

Keith Wayne Matheny is a General Practice Dentistry based in Kent, WA and is specialized in General Practice. Keith Wayne Matheny practices in Kent, WA and has the professional credentials of DDS. The NPI Number for Keith Wayne Matheny is 1922087428 and holds a License No. 5596 (Washington).

The current practice location address for Keith Wayne Matheny is 10803 Se Kent Kangley Rd, Kent, WA and can be reached out via phone at 253-859-0658 and via fax at 253-859-8052.

Location: 10803 Se Kent Kangley Rd, Kent, WA, 98030-7194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922087428
Provider Name
Keith Wayne Matheny
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10803 Se Kent Kangley Rd, Kent, WA, 98030-7194
Phone Number
253-859-0658
Fax Number
253-859-8052
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56326 01 WA LABOR & INDUSTRIES
5001581 01 WA DSHS
institution
Provider Business Practice Location Address Details
Address
10803 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7194
Phone Number
253-859-0658
Fax Number
253-859-8052
person
Provider Business Mailing Address Details
Address
10803 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7194
Phone Number
253-859-0658
Fax Number
253-859-8052
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5596 (Washington)
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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