Provider Demographics
NPI:1255334264
Name:O'KEEFE, TERRENCE CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:CHARLES
Last Name:O'KEEFE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11757 KATY FWY
Mailing Address - Street 2:STE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1752
Mailing Address - Country:US
Mailing Address - Phone:281-496-6878
Mailing Address - Fax:281-496-6581
Practice Address - Street 1:11757 KATY FWY
Practice Address - Street 2:STE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1752
Practice Address - Country:US
Practice Address - Phone:281-496-6878
Practice Address - Fax:281-496-6581
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX095301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice