KATIE MARIE HALDY KEOGH (NPI# 1043446123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043446123 |
| Entity Type | Individual |
| Full Name | KATIE MARIE HALDY KEOGH |
| Credential | DDS |
| Practice Address |
120 Oakmont Dr Greenville NC 27858-5936 |
| Mailing Address |
912 Nottingham Rd Greenville NC 27858-6251 |
| Practice Telephone | 2527567789 |
| Mailing Telephone | 3035528120 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2019-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11209 | NC | Dental Providers |
| Street Address |
120 OAKMONT DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437190758 | Delaney Harper Taylor | Dentist | 120 Oakmont Dr, Greenville, NC 27858-5936 | 2006-06-09 |
| 1417338559 | Melanie Arlene Goforth-moore | Dentist | 120 Oakmont Dr, Greenville, NC 27858-5936 | 2015-06-15 |
| 1295944122 | Drs. Davila & Velazquez, P.a. | Dentist | 120 Oakmont Dr, Greenville, NC 27858-5936 | 2007-05-21 |
| 1407967607 | Norberto Velazquez | Dentist | 120 Oakmont Dr, Greenville, NC 27858-5936 | 2006-08-31 |
| 1790793974 | Laura Jeanette Davila | Dentist | 120 Oakmont Dr, Greenville, NC 27858-5936 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699208488 | Greenville Tiny Teeth Pllc | Dentist | 3206 I 30, Suite C, Greenville, TX 75402-7000 | 2017-04-07 |
| 1275780454 | Upstate Pediatric Dentistry, Pa | Dentist | 105-a Halton Road, Greenville, SC 29607-3507 | 2008-08-19 |
| 1558532028 | Pediatric Dental Specialists | Dentist | 1540 S Main St, Suite C, Greenville, MS 38701-7055 | 2008-03-12 |
| 1003022930 | Greenville Pediatric Dentistry, P.a. | Dentist | 3101 Joe Ramsey Blvd E, Suite 103a, Greenville, TX 75401-7716 | 2007-05-15 |
| 1194805143 | Mary Whitaker Crockett | Dentist | 102 S Venture Dr, Greenville, SC 29615-3571 | 2006-10-16 |
| 1508956632 | April Dunlap Czarsty | Dentist | 1376 Cleveland St, Greenville, SC 29607-2435 | 2006-10-12 |
| 1518986496 | Jennifer L Garvey | Dentist | 100 Regent Park Ct, Greenville, SC 29607-6534 | 2006-07-19 |
| 1386689974 | William Neil Quinton | Dentist | 837 S Main St, Greenville, MS 38701-5871 | 2006-06-18 |
| 1902884984 | Pediatric Dentistry of Greenville,p.a. | Dentist | 410a Pelham Rd, Greenville, SC 29615-3502 | 2006-01-09 |
| 1790771871 | Glenn Robert Head | Dentist | 6 Pointe Cir, Greenville, SC 29615-3506 | 2005-09-23 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
Please comment or provide details below to improve the information on KATIE MARIE HALDY KEOGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.