John T. Keaveny, Dds in Dickinson - Oral And Maxillofacial Surgery
John T. Keaveny, Dds - NPI 1568676310
John T. Keaveny, Dds is a Oral And Maxillofacial Surgery in Dickinson, North Dakota. John T. Keaveny, Dds practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John T. Keaveny, Dds is 1568676310. The last update date is 2007-10-04.
John T. Keaveny, Dds's current location address is 669 12th St W, Dickinson, North Dakota. You can contact this provider via phone number 7012255163 and fax number 7012641032. The mailing address for John T. Keaveny, Dds is 669 12th St W, Dickinson, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John T. Keaveny, Dds |
|---|---|
| Address | 669 12th St W, Dickinson, North Dakota |
| Phone Number | 7012255163 |
| Fax Number | 7012641032 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Keaveny Teunis John |
| Credentials | DDS |
| Telephone Number | 7012255163 |
NPI Number Detail
| NPI Number | 1568676310 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 669 12th St W |
|---|---|
| City | Dickinson |
| State | North Dakota (ND) |
| Post Code | 586013554 |
| Phone Number | 7012255163 |
| Fax Number | 7012641032 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 1444 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41384 | ND | -- | |
| 26747 | ND | BCBS MEDICAL | |
| 949318 | ND | DSC DENTAL |
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What is the unique 10-digit identification code issued to John T. Keaveny, Dds by the Centers for Medicare & Medicaid Services?
The John T. Keaveny, Dds has been assigned the NPI (National Provider Identifier) 1568676310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the John T. Keaveny, Dds's physical address?
The John T. Keaveny, Dds is physically located at 669 12Th St W, in the city of Dickinson, ND, with the postal code 586013554.
What is the John T. Keaveny, Dds's specialty and taxonomy code?
The John T. Keaveny, Dds's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the John T. Keaveny, Dds receive its 1568676310 assignment from the Centers for Medicare & Medicaid Services?
The John T. Keaveny, Dds was assigned its 1568676310 by the Centers for Medicare & Medicaid Services on 2007-05-10.
When was the information pertaining to John T. Keaveny, Dds most recently updated or revised?
The details related to John T. Keaveny, Dds, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-04.
NPI Number: 1548255375
Address: 167 N Spencer Rd, Spencer, MA