Dmitry Keysalov is a Grand Ronde, Oregon based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dmitry Keysalov is 0401415490 for Dentistry in Virginia. His current practice location is 9605 Grand Ronde Rd, Grand Ronde. Patients can reach him at 503-879-2020.
Dmitry Keysalov is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dmitry Keysalov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dmitry Keysalov
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
9605 Grand Ronde Rd, Grand Ronde, Oregon, 97347-9712
Phone:
503-879-2020
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1841736634
NPI Enumeration Date:
17 Jan, 2017
NPI Last Update On:
02 Apr, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dmitry Keysalov are as mentioned below.
License Number
Specialization
State
Status
0401415490
Dentistry
Virginia
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1074 Grand Oak Ln, Virginia Beach, Virginia
Zip:
23455-7218
Phone Number:
646-725-1252
Patients can reach Dmitry Keysalov at 9605 Grand Ronde Rd, Grand Ronde, Oregon or can call to book an appointment on 503-879-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.