Individual provider · Type 1 NPI
Keith Lynn Mayberry, DDS
General Practice Dentistry · Indian Head, MD
NPI number
1467414508
Active
Practice location
1600 W Wilson Rd
Indian Head, MD 20640-1400
Mailing address
14708 Bauer Dr
Rockville, MD 20853-3622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS024457L (PA) |
General Practice Dentistry: 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.
Another provider at this address
Other general practice dentistry providers in Indian Head
About NPI 1467414508
Keith Lynn Mayberry, DDS's National Provider Identifier is 1467414508, issued on Apr 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Indian Head, MD. The record was last updated on Jul 13, 2026.