Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS MAURICE KEANE JR., D.D.S.
Active Sole ProprietorDR. THOMAS MAURICE KEANE JR., D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in BLOOMINGTON, Minnesota. NPI 1891786224 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1891786224
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2005 (20.812224085666 yrs)
- Last Updated
- Jun 24, 2015
- License
-
9671 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8900 PENN AVE SO.SUITE 211BLOOMINGTON, MN, 55431Browse MN providers · Browse ZIP 55431
- Phone
- 9529203844
- Fax
- 9529203008
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
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.