Provider Demographics
NPI:1497700884
Name:FIRST K. CRAIG KEATE DDS LTD
Entity Type:Organization
Organization Name:FIRST K. CRAIG KEATE DDS LTD
Other - Org Name:KEATE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:K.
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:KEATE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:432-682-8941
Mailing Address - Street 1:4610 N GARFIELD ST
Mailing Address - Street 2:#B-12
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2663
Mailing Address - Country:US
Mailing Address - Phone:432-682-8941
Mailing Address - Fax:432-570-8053
Practice Address - Street 1:4610 N GARFIELD ST
Practice Address - Street 2:#B-12
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-2663
Practice Address - Country:US
Practice Address - Phone:432-682-8941
Practice Address - Fax:432-570-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center