DR. Keith Earl January JR., MS, DMD

NPI #1699419150 in Bastrop, Louisiana

Provider Information

NPI Number: 1699419150
Entity Type: Individual
Name: DR. Keith Earl January JR., MS, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: MS, DMD
Enumeration Date: Apr 21, 2022
Last Updated: Mar 20, 2025

Practice Location

Address: 314 N FRANKLIN ST
City: Bastrop
State: Louisiana
ZIP Code: 71220-3846
Phone: (318) 283-8887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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