Individual provider · Type 1 NPI
Keith William Street, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Spartanburg, SC
Practice location
1460 John B White Sr Blvd Ste 1-5
Spartanburg, SC 29306-3996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 2984 (SC) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…
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About NPI 1629602065
Keith William Street, DMD's National Provider Identifier is 1629602065, issued on Feb 25, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Spartanburg, SC. The record was last updated on Feb 25, 2020.