Keaton Burchfield
Dentist, General Practice in Alexandria, VA. Individual provider (NPI-1).
NPI number1407546641
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1407546641
- Entity type
- Individual (NPI-1)
- Name
- Keaton Burchfield
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2023
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401418877 | VA | Yes |
Practice location
7696 Richmond Hwy Ste DAlexandria, VA 22306-2843
Phone 813-777-6816
Mailing address
5080 Grimm DrAlexandria, VA 22304-8629
Phone 813-777-6816
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