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Dr. John Tennis Keaveny, DDSOMS
Oral and Maxillofacial Surgery (Dentist) in Dickinson, North Dakota
NPI 1770584500

John Tennis Keaveny is a Oral and Maxillofacial Surgery (Dentist) based in Dickinson, ND and is specialized in Oral and Maxillofacial Surgery. John Tennis Keaveny practices in Dickinson, ND and has the professional credentials of DDSOMS. The NPI Number for John Tennis Keaveny is 1770584500 and holds a License No. 1444 (North Dakota).

The current practice location address for John Tennis Keaveny is 669 12Th St W, Dickinson, ND and can be reached out via phone at 701-225-5163 and via fax at 701-264-1032.

Location: 669 12Th St W, Dickinson, ND, 58601-3554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770584500
Provider Name
John Tennis Keaveny
Credential
DDSOMS
Provider Entity Type
Individual
Gender
Male
Address
669 12Th St W, Dickinson, ND, 58601-3554
Phone Number
701-225-5163
Fax Number
701-264-1032
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41384 05 ND
institution
Provider Business Practice Location Address Details
Address
669 12Th St W
City
Dickinson
State
North Dakota
Zip
58601-3554
Phone Number
701-225-5163
Fax Number
701-264-1032
person
Provider Business Mailing Address Details
Address
669 12Th St W
City
Dickinson
State
North Dakota
Zip
58601-3554
Phone Number
701-225-5163
Fax Number
701-264-1032
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
1444 (North Dakota)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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