David Keens-douglas, - Dentist in Goshen, IN

David Keens-douglas, is a Dentist based in Goshen, Indiana. David Keens-douglas is licensed to practice in Indiana (license number 12013695A) and his current practice location is 4024 Elkhart Rd, Goshen, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 538-2011.

NPI number for David Keens-douglas is 1225703309 and his current mailing address is 51100 Northfield Dr, Granger, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225703309.

Contact Information

David Keens-douglas,
4024 Elkhart Rd,
Goshen, IN 46526-5807
(574) 538-2011
Not Available



Healthcare Provider's Profile

Full NameDavid Keens-douglas
GenderMale
SpecialityDentist
Location4024 Elkhart Rd, Goshen, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225703309
  • Provider Enumeration Date: 08/11/2021
  • Last Update Date: 08/11/2021

Medical Identifiers

Medical identifiers for David Keens-douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225703309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12013695A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Keens-douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Keens-douglas,
51100 Northfield Dr,
Granger, IN 46530-6705

Ph: (754) 252-8750
David Keens-douglas,
4024 Elkhart Rd,
Goshen, IN 46526-5807

Ph: (574) 538-2011

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Dentist in Goshen, IN

Dr. Danielle M. Lies Stutsman, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1801 Charlton Ct, Goshen, IN 46526
Phone: 574-533-8934    Fax: 574-533-9487
Rahul Shah, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 814 N 3rd St, Goshen, IN 46528
Phone: 574-500-3737    
Dr. Mark E Deal, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1625 Sunnyfield Dr, Goshen, IN 46526
Phone: 574-534-5528    Fax: 574-534-8146
Dr. Kirstina Jessica Gratz, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 21781 Omega Ct, Goshen, IN 46528
Phone: 319-430-8601    
Dr. Daniel E White, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 814 N 3rd St, Goshen, IN 46528
Phone: 574-500-3737    Fax: 574-971-8434
Dr. Tracy Lynn Kelsey, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1802 Charlton Ct, Goshen, IN 46526
Phone: 574-533-5925    

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