Provider Demographics
NPI:1942419122
Name:CLEAR, KEITH EDWARD (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:EDWARD
Last Name:CLEAR
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:10450 PARK MEADOWS DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5529
Mailing Address - Country:US
Mailing Address - Phone:720-502-3694
Mailing Address - Fax:720-508-3280
Practice Address - Street 1:10450 PARK MEADOWS DR
Practice Address - Street 2:SUITE 110
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5529
Practice Address - Country:US
Practice Address - Phone:720-502-3694
Practice Address - Fax:720-508-3280
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2016-04-01
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Provider Licenses
StateLicense IDTaxonomies
CO69621223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics