Keck, Douglas B

Keck, Douglas B is an individual health care provider with primary practice located at 991 State St , New Haven CT 06511-3993. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Keck, Douglas B can be contacted via phone (203) 787-3669.

Contact Information

Primary practice address
991 State St New Haven CT 06511-3993
Phone: (203) 787-3669
Fax: (203) 785-8416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7814 Connecticut

Profile Details

NPI number 1710988704
LBN Legal business name Keck, Douglas B
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers