Provider Demographics
NPI:1568909778
Name:JEFF S KEH DMD PLLC
Entity Type:Organization
Organization Name:JEFF S KEH DMD PLLC
Other - Org Name:KATY FAMILY DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KEH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-396-4635
Mailing Address - Street 1:23530 KINGSLAND BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7466
Mailing Address - Country:US
Mailing Address - Phone:281-396-4635
Mailing Address - Fax:832-437-5533
Practice Address - Street 1:23530 KINGSLAND BLVD STE 120
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7466
Practice Address - Country:US
Practice Address - Phone:281-396-4635
Practice Address - Fax:832-437-5533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30777122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty