Dr. Keith Lynn Teague , DDS
Dentist - General Practice • Wylie, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Teague has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Keith Teague, DDS was a registered Dentist - General Practice practicing in Wylie, TX. Throughout an active medical career spanning 11 years, Dr. Teague provided care at the practice location at 304 S BALLARD AVE until profile deactivation on 2017-11-13.
Practice Location & Contact Primary Location
304 S Ballard Ave
Wylie, TX 750983641
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Wylie, TX
Practicing in Wylie, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 13, 2017
NPI status registered as active in NPPES database
Registered at 304 S BALLARD AVE, WYLIE, TX 750983641 (Tel: 9724425599)
Registered at 304 S BALLARD AVE, WYLIE, TX 750983641 (Tel: 9724425599)
Recorded as KEITH TEAGUE, D.D.S.
Dentist (License #10861 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
304 S Ballard Ave
Wylie, TX 750983641
Phone: 9724425599
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