Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Keith Diddy, DDS

Individual provider Dentist · NPI 1922570134

Dr. Charles Keith Diddy, DDS is a Dentist in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5637 N Palm Ave Apt B
Fresno, CA 93704-1829
Phone: (559) 246-0469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 20174 (CA)

Record details

NPI number1922570134
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 28, 2018
Last updated in NPPESDecember 28, 2018
Mailing address5637 N Palm Ave Apt B, Fresno, CA 93704-1829

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