Dr Keane Ryan Lindblad, DDS is a
Dentist - General Practice based in Ft. Cavazos, Texas. Dr Keane Ryan Lindblad is licensed to practice in Utah (license number 10380650-9921) and his current practice location is
Billy Johnson Dental Clinic, Bldg 36014 Wratten Dr, Ft. Cavazos, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 444-9868.
NPI number for Dr Keane Ryan Lindblad is 1720363716 and his current mailing address is Billy Johnson Dental Clinic, Bldg 36014 Wratten Dr, Ft. Cavazos, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720363716.
Healthcare Provider's Profile
| Full Name | Dr Keane Ryan Lindblad |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | Billy Johnson Dental Clinic, Ft. Cavazos, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720363716
- Provider Enumeration Date: 10/21/2011
- Last Update Date: 07/17/2023
Medical Identifiers
Medical identifiers for Dr Keane Ryan Lindblad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720363716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 10380650-9921 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keane Ryan Lindblad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Keane Ryan Lindblad, DDS
Billy Johnson Dental Clinic, Bldg 36014 Wratten Dr,
Ft. Cavazos, TX 76544
Ph: () - | Dr Keane Ryan Lindblad, DDS
Billy Johnson Dental Clinic, Bldg 36014 Wratten Dr,
Ft. Cavazos, TX 76544
Ph: (254) 444-9868 |
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