Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEENAN SANDOUK, DMD
Active Sole ProprietorKEENAN SANDOUK, DMD is a Student (Health Education/Training) healthcare provider located in PROVIDENCE, Rhode Island. NPI 1972111029 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · PROVIDENCE, RI
Registration Details
- NPI Number
- 1972111029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2020 (6.0563675706489 yrs)
- Last Updated
- Jul 15, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
830 CHALKSTONE AVEPROVIDENCE, RI, 029084734Browse RI providers · Browse ZIP 02908
- Phone
- 4012737100
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE E DELMAS | — | 1467609982 |
| PEDRO PAULO ALVES GENEROSO | M.D. | 1093956153 |
| ALI AMIN | M.D. | 1952544264 |
| AMANDA FALLS | — | 1275766073 |
| MS. SUE DEONARAIN | MD | 1184947293 |
| MR. CHRISTOPHER RAYMOND COTE | — | 1720306335 |
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.