Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750418935 Individual Practitioner Male Practitioner

Dr. Keith Robert Fetterolf , DMD

Dentist - General Practice • Garner, NC

Professional Overview & Biography Verified Profile Summary

Dr. Keith Fetterolf, DMD is a registered healthcare professional specializing in Dentist - General Practice in Garner, NC. Practice services are available at 142 SHENSTONE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

142 Shenstone Blvd

Garner, NC 275296902

Telephone 9193296101
Fax 7172337729
Associated Practice Facility / Clinic
🏢 Keith Fetterolf, Dmd, P.a. Facility NPI 1023745130

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Garner, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
26 Specialists

Practicing in Garner, NC (4047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 12642

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Dana Fetterolf , DMD

Dentist - General Practice

NPI 1962531525

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 19, 2025

Registered at 142 SHENSTONE BLVD, GARNER, NC 275296902 (Tel: 9193296101)

📍
Updated Business Mailing Address September 19, 2025

Registered at 142 SHENSTONE BLVD, GARNER, NC 275296902 (Tel: 9193296101)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Dentist (License #12642 in NC)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4400 DEER PATH RD, SUITE 104, HARRISBURG, PA 171103908 (Tel: 7172337718)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4400 DEER PATH RD, SUITE 104, HARRISBURG, PA 171103908 (Tel: 7172337718)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH FETTEROLF, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS031414L in PA)

🟢
Initial NPI Registration & Enumeration February 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750418935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2007
Last Update: September 19, 2025
Sole Proprietor: No

Mailing Address

142 Shenstone Blvd

Garner, NC 275296902

Phone: 9193296101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.