Raeven B Keene
Dental Hygienist in Waterbury, Connecticut
1356996920- Practice location
- 80 Phoenix Ave, Waterbury, CT 06702-1418
- Phone
- 203-756-8021
- Fax
- —
- Last updated
- August 9, 2019
Raeven B Keene is a Dental Hygienist based in Waterbury, CT. Raeven B Keene practices in Waterbury, CT. The NPI Number for Raeven B Keene is 1356996920 and holds a License No. 008937 (CT). The current practice location address for Raeven B Keene is 80 Phoenix Ave, Waterbury, CT 06702-1418 and can be reached out via phone at 203-756-8021.
Provider Profile Details
- NPI Number
- 1356996920
- Provider Name
- Raeven B Keene
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 80 Phoenix Ave, Waterbury, CT 06702-1418
- Phone Number
- 203-756-8021
- Primary Taxonomy
- Dental Hygienist · 124Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 9, 2019
- Last Update Date
- August 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Phoenix Ave
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1418
- Phone Number
- 203-756-8021
Provider Business Mailing Address Details
- Address
- 80 Phoenix Ave
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- CT
- Zip
- 06702-1418
License Information
- License Number
- 008937
- License State
- CT
- Taxonomy
- Dental Hygienist · 124Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Raeven B Keene?
The NPI number of Raeven B Keene is 1356996920. It was assigned on August 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Raeven B Keene?
Raeven B Keene is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in CT under license number 008937.
Where does Raeven B Keene practice?
The practice location is 80 Phoenix Ave, Waterbury, CT 06702-1418. The office can be reached at 203-756-8021 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356996920 directly on the NPPES registry website.