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DR. KEITH WAYNE MATHENY D.D.S.
NPI 1922087428
Dentist - General Practice in Kent, WA

Active since January 12, 2006
10803 SE KENT KANGLEY RD, SUITE #100, KENT, WA 98030(253) 859-0658(253) 859-8052 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Wayne Matheny D.d.s. NPPES

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

DR. KEITH WAYNE MATHENY D.D.S. (NPI 1922087428) is an individual general practice provider in Kent, Washington, licensed in Washington (5596) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1922087428
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEITH WAYNE MATHENYCredential: D.D.S.
Location Address10803 SE KENT KANGLEY RD, SUITE #100Kent, WA 98030-7194
Mailing Address10803 Se Kent Kangley Rd, Suite #100Kent, WA 98030-7194 · (253) 859-0658 · Fax (253) 859-8052
Phone(253) 859-0658
Fax(253) 859-8052
Sole ProprietorYes
Enumeration DateJanuary 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922087428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 5596
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.
10803 SE KENT KANGLEY RD, Kent, WA 98030
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Other Identifiers 2

Other5001581WA · Dshs
Other56326WA · Labor & Industries

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI MARIE MONUTEAUX MA, LMHCA
Counselor (Mental Health)
10803 SE KENT KANGLEY RD, SUITE 207
KENT, WA 98030
King County (206) 304-3345
FARDEEN SALIHI
Counselor
10803 SE KENT KANGLEY RD
KENT, WA 98030
King County (253) 487-7573
AHLAM BOUMAN ALI
Counselor
10803 SE KENT KANGLEY RD
KENT, WA 98030
King County (206) 816-3253
MARY ORTIZ
Counselor
10803 SE KENT KANGLEY RD, SUITE 207
KENT, WA 98030
King County (253) 569-9625
TINA LAVINA RUSSEFF LMT
Massage Therapist
10803 SE KENT KANGLEY RD, STE 205
KENT, WA 98030
King County (206) 920-4926

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 Matheny's NPI number?

The NPI number for Keith Matheny is 1922087428. It was assigned to this individual provider in the NPPES registry on January 12, 2006.

Where is Keith Matheny located?

Keith Matheny practices at 10803 SE Kent Kangley Rd Suite #100, Kent, WA 98030. The listed phone number is (253) 859-0658.

What is Keith Matheny'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 Matheny was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.