DR. KEITH ELDRIDGE (NPI# 1093121808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093121808 |
| Entity Type | Individual |
| Full Name | DR. KEITH ELDRIDGE |
| Credential | D.D.S |
| Practice Address |
1632 W Grace St Apt 1 Richmond VA 23220-2103 |
| Mailing Address |
1632 W Grace St Apt 1 Richmond VA 23220 |
| Practice Telephone | 5404540133 |
| Mailing Telephone | 5404540133 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401414470 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467769729 | Keith Eldridge | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2010-09-08 |
| Street Address |
1632 W GRACE ST APT 1 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675717 | South Texas Sleep Medicine LLC | Dentist | 8710 Grand Mission Blvd Ste A, Richmond, TX 77407-5413 | 2020-09-30 |
| 1780159764 | Krysten Marie Herrero | Dentist | 1821 Mactavish Ave Apt 2319, Richmond, VA 23230-4336 | 2018-10-05 |
| 1083189179 | Saurabh Mankotia | Dentist | 5614 W Grand Pkwy S Ste 120, Richmond, TX 77406-5820 | 2018-10-04 |
| 1952887762 | Joseph Eugene Bartholomew IIi | Dentist | 521 N. 11th Street, Vcu School of Dentistry Aegd Clinic, Richmond, VA 23298 | 2018-07-15 |
| 1437635331 | Shannon Andrews Kittrell | Dentist | 8804 Patterson Ave Ste 100, Richmond, VA 23229-6361 | 2018-07-13 |
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265927065 | Hina Asghar | Dentist | 7 N 8th St Apt 1102, Richmond, VA 23219-3329 | 2018-06-25 |
| 1467946269 | Ideal Dental of Aliana Pllc | Dentist | 4818 Waterview Town Center, Suite 100, Richmond, TX 77406-1438 | 2018-06-15 |
| 1063909414 | Sunjae Jung | Dentist | 265 16th St, Richmond, Richmond, CA 94801 | 2018-04-20 |
| 1750805560 | Michael Harold Wong | Dentist | 2970 Hilltop Mall Rd Ste 212, Richmond, CA 94806-1949 | 2017-08-02 |
| Find all providers in RICHMOND | ||||
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| 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.