Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN TENNIS KEAVENY, DDS OMS
ActiveDR. JOHN TENNIS KEAVENY, DDS OMS is a Oral & Maxillofacial Surgery healthcare provider located in DICKINSON, North Dakota. NPI 1770584500 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · DICKINSON, ND
Registration Details
- NPI Number
- 1770584500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (21.058256067732 yrs)
- Last Updated
- May 21, 2015
- License
-
1444 (ND)
Practice Information
- Address
-
669 12TH ST WSUITE 2DICKINSON, ND, 586013554Browse ND providers · Browse ZIP 58601
- Phone
- 7012255163
- Fax
- 7012641032
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.