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ONE LOOSE TOOTH, DENTAL PRACTICE OF DR. ALEX KEITH
NPI 1154847622
Clinic/Center - Dental in Placerville, CA

Active since August 16, 2017
4330 GOLDEN CENTER DR STE A, PLACERVILLE, CA 95667(530) 642-8614(530) 642-9314 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017 (2 updates tracked since 2017).

About One Loose Tooth, Dental Practice Of Dr. Alex Keith NPPES

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

ONE LOOSE TOOTH, DENTAL PRACTICE OF DR. ALEX KEITH (NPI 1154847622) is a healthcare organization registered as a dental in Placerville, California and active in the NPI registry since August 2017. The organization lists Alex Keith, Owner, as its authorized official.

NPPES Registry Identity

NPI1154847622
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameALEX KEITH, DMD, DENTAL CORPORATION
Location Address4330 GOLDEN CENTER DR STE APlacerville, CA 95667-6232
Mailing Address4330 Golden Center Dr Ste APlacerville, CA 95667-6232 · (530) 642-8614 · Fax (530) 642-9314
Phone(530) 642-8614
Fax(530) 642-9314
Organization SubpartNo
Authorized OfficialAlex KeithOwner · (510) 912-0923
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1154847622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 100100
4330 GOLDEN CENTER DR STE A, Placerville, CA 95667
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Other Names 1

Doing Business AsOne Loose Tooth, Dental Practice Of Dr. Alex Keith

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 Alex Keith, Dmd, Dental Corporation's NPI number?

The NPI number for Alex Keith, Dmd, Dental Corporation is 1154847622. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is doing business as One Loose Tooth, Dental Practice Of Dr. Alex Keith.

Where is Alex Keith, Dmd, Dental Corporation located?

Alex Keith, Dmd, Dental Corporation is located at 4330 Golden Center Dr Ste A, Placerville, CA 95667. The listed phone number is (530) 642-8614.

What is Alex Keith, Dmd, Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Alex Keith, Dmd, Dental Corporation was last updated on July 21, 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.