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Active NPI 1194736363 Individual Practitioner Male Practitioner

Dr. Keavin G Mcintosh , DMD

Dentist - General Practice • Edgewood, WA

Professional Overview & Biography Verified Profile Summary

Dr. Keavin Mcintosh, DMD is a registered healthcare professional specializing in Dentist - General Practice in Edgewood, WA. Practice services are available at 2511 MERIDIAN AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2511 Meridian Ave E

Edgewood, WA 98371

Telephone 2538458817
Fax 2538456491
Associated Practice Facility / Clinic
🏢 North Hill Dental Facility NPI 1598623142

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Edgewood, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Edgewood, WA (3345 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00008897

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5039441 (WA)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mitchell Maughan , DDS

Dentist - General Practice

NPI 1043309875

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 01, 2023

Registered at 2511 MERIDIAN AVE E, EDGEWOOD, WA 98371 (Tel: 2538458817)

📍
Updated Business Mailing Address September 01, 2023

Registered at 2511 MERIDIAN AVE E, EDGEWOOD, WA 98371 (Tel: 2538458817)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2511 MERIDIAN AVE E, EDGEWOOD, WA 983712164 (Tel: 2538458817)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2511 MERIDIAN E., EDGEWOOD, WA 98371 (Tel: 2538458817)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEAVIN MCINTOSH, DMD

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

Dentist (License #DE00008897 in WA)

🟢
Initial NPI Registration & Enumeration August 11, 2006

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: 1194736363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: September 01, 2023
Sole Proprietor: No

Mailing Address

2511 Meridian Ave E

Edgewood, WA 98371

Phone: 2538458817

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.