KEITH FETTEROLF, DMD, P.A.
NPI 1023745130
Dentist - General Practice in Garner, NC

Q: What is Keith Fetterolf, Dmd, P.A.'s NPI number?

The NPI number for Keith Fetterolf, Dmd, P.A. is 1023745130. It was assigned to this organization in the NPPES registry on August 8, 2022.

Q: What is Keith Fetterolf, Dmd, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since August 08, 2022

142 SHENSTONE LN, GARNER, NC 27529(919) 329-6101 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Keith Fetterolf, Dmd, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH FETTEROLF, DMD, P.A. (NPI 1023745130) is a healthcare organization registered as a general practice in Garner, North Carolina and active in the NPI registry since August 2022. The organization lists Keith Fetterolf, Owner, as its authorized official.

NPPES Registry Identity

NPI1023745130

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKEITH FETTEROLF, DMD, P.A.

Location Address142 SHENSTONE LNGarner, NC 27529-6902

Mailing Address142 Shenstone LnGarner, NC 27529-6902 · (919) 329-6101

Phone(919) 329-6101

Organization SubpartNo

Authorized OfficialKeith FetterolfOwner · (919) 329-6101

Enumeration DateAugust 8, 2022

NPPES CertifiedAugust 8, 2022

✔ NPI 1023745130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

142 SHENSTONE LN, Garner, NC 27529

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Fetterolf, Dmd, P.A.'s NPI number?

The NPI number for Keith Fetterolf, Dmd, P.A. is 1023745130. It was assigned to this organization in the NPPES registry on August 8, 2022.

Where is Keith Fetterolf, Dmd, P.A. located?

Keith Fetterolf, Dmd, P.A. is located at 142 Shenstone Ln, Garner, NC 27529. The listed phone number is (919) 329-6101.

What is Keith Fetterolf, Dmd, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Keith Fetterolf, Dmd, P.A. was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.