| Oral & Maxillofacial Surgery | |
|
669 12th St W Dickinson ND 58601-3554 | |
| (701) 225-5163 | |
| (701) 264-1032 |
| Full Name | Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 669 12th St W, Dickinson, North Dakota |
| Authorized Official Name and Position | John Teunis Keaveny (OWNER) |
| Authorized Official Contact | 7012255163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery 669 12th St W Dickinson ND 58601-3554 Ph: (701) 225-5163 | Oral & Maxillofacial Surgery 669 12th St W Dickinson ND 58601-3554 Ph: (701) 225-5163 |
| NPI Number | 1568676310 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568676310 | NPI | - | NPPES |
| 41384 | Medicaid | ND | |
| 26747 | Other | ND | BCBS MEDICAL |
| 949318 | Other | ND | DSC DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1444 (North Dakota) | Primary |
Krieg Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Osborn Dr, Dickinson, ND 58601 Phone: 701-483-8113 Fax: 701-483-8202 | |
Dickinson Dental Center, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 1st St W, #215, Dickinson, ND 58601 Phone: 701-483-6999 Fax: 701-483-6998 | |
Robinson Family Dental P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1524 Prairie Ave, Suite A, Dickinson, ND 58601 Phone: 701-483-3330 | |
Hometown Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Osborn Dr, Dickinson, ND 58601 Phone: 701-483-7668 | |
High Plains Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 669 12th St W, Dickinson, ND 58601 Phone: 701-483-4746 | |
Plaza Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 19th St W Ste 200, Dickinson, ND 58601 Phone: 701-502-0060 |