KEITH WILLIAM STREET DMD
NPI 1629602065
Dentist - Orthodontics and Dentofacial Orthopedics in Spartanburg, SC

Active since February 25, 2020
1460 JOHN B WHITE SR BLVD STE 1-5, SPARTANBURG, SC 29306(470) 552-1823 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith William Street Dmd NPPES

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

KEITH WILLIAM STREET DMD (NPI 1629602065) is an individual orthodontics and dentofacial orthopedics provider in Spartanburg, South Carolina, licensed in South Carolina (2984) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1629602065
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameKEITH WILLIAM STREETCredential: DMD
Location Address1460 JOHN B WHITE SR BLVD STE 1-5Spartanburg, SC 29306-3996
Mailing Address1460 John B White Sr Blvd Ste 1-5Spartanburg, SC 29306-3996
Sole ProprietorNo
Enumeration DateFebruary 25, 2020
NPI 1629602065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in SC · 2984
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1460 JOHN B WHITE SR BLVD STE 1-5, Spartanburg, SC 29306

Accepted Insurance

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 Street's NPI number?

The NPI number for Keith Street is 1629602065. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Keith Street located?

Keith Street practices at 1460 John B White Sr Blvd Ste 1-5, Spartanburg, SC 29306. The listed phone number is (470) 552-1823.

What is Keith Street's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Keith Street accept?

Health plans from Humana list Keith Street as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Street was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.