Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER TIMOTHY KEENAN, D.D.S
Active Sole ProprietorDental Public Health · SUMMERVILLE, GA
Registration Details
- NPI Number
- 1962404301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2005 (20.68409710542 yrs)
- Last Updated
- Nov 14, 2007
- Licenses
-
DN013152 (GA)DN013152 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
64 STOCKADE RDSUMMERVILLE, GA, 307471900Browse GA providers · Browse ZIP 30747
- Phone
- 7068572323
- Fax
- 7068577041
- Primary Specialty
-
Dental Public Health
1223D0001X
- Additional Specialty
- General Dentistry
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.