Provider Demographics
NPI:1225242274
Name:WARNER, DAVID KEITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KEITH
Last Name:WARNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1946 WILTON DR
Mailing Address - Street 2:NORTH UNIT
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33305-3909
Mailing Address - Country:US
Mailing Address - Phone:954-565-7666
Mailing Address - Fax:954-565-7414
Practice Address - Street 1:1946 WILTON DR
Practice Address - Street 2:NORTH UNIT
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33305-3909
Practice Address - Country:US
Practice Address - Phone:954-565-7666
Practice Address - Fax:954-565-7414
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2009-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN149621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice