DR. THOMAS MAURICE KEANE JR. (NPI# 1891786224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891786224 |
Entity Type | Individual |
Full Name | DR. THOMAS MAURICE KEANE JR. |
Credential | D.D.S. |
Practice Address |
8900 Penn Ave So. Suite 211 Bloomington MN 55431 |
Practice Telephone | 9529203844 |
Practice Fax Number | 9529203008 |
Mailing Telephone | 9529203844 |
Mailing Fax Number | 9529203008 |
Enumeration Date | 2005-11-03 |
Last Update Date | 2015-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
9671 | MN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 776322100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184879710 | Thomas Earl Keane | Radiology | 903 Commerce Dr, Suite 333, Oak Brook, IL 60523-1969 | 2008-11-24 |
1730243916 | Thomas G Keane | Psychologist | 201 N Eugene St, Greensboro, NC 27401-2221 | 2006-12-21 |
1972558708 | Thomas E Keane | Urology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-05-23 |
1235123571 | Thomas Keane | Anesthesiology | 1980 Crompond Road, Hudson Valley Hospital Center, Cortlandt Manor, NY 10567 | 2005-09-01 |
Street Address |
8900 PENN AVE SO. SUITE 211 |
City | BLOOMINGTON |
State | MN |
Zip Code | 55431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
Find all providers in zip 55431 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114363579 | Anthony Mitchell Elger | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2013-05-13 |
1205892973 | Thomas Charles Ocheltree Jr. | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2006-04-21 |
1700862877 | David Efaw | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-12-20 |
1376529750 | Stephen N Doran | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-12-19 |
1053397612 | Jack Capodice Jr. | Dentist | 109 N Regency Dr, Bloomington, IL 61701-3515 | 2005-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609844760 | Daniel Joseph Gatto | Dentist | 9950 Valley Creek Rd, Woodbury, MN 55125-4883 | 2006-03-14 |
1194702647 | James Immanuel Midtling | Dentist | 155 Wabasha St S, Suite #111, Saint Paul, MN 55107-1801 | 2005-12-27 |
1669461554 | James Barthel | Dentist | 925 Highway 55, Ste 202, Hastings, MN 55033-3734 | 2005-10-14 |
1912996802 | Michael Downie | Dentist | 8480 Woodbury Xing Ste 120, Woodbury, MN 55125-9406 | 2005-10-14 |
1801881370 | Abdollah Rahimi | Dentist | 15600 36th Ave N, Suite 100, Plymouth, MN 55446-3369 | 2005-09-12 |
1992703987 | James P Hughes | Dentist | 50 W 2nd St, Suite 201, Winona, MN 55987-3440 | 2005-07-13 |
1780855171 | Esthesia Oral Surgery Care, Pa | Dentist | 3400 W 66th St, Suite 270, Edina, MN 55435-2111 | 2008-03-13 |
1821185844 | Anupama Grandhi | Dentist | 1720 Highway 59 S, Thief River Falls, MN 56701-4331 | 2006-10-10 |
1598865651 | Family Oral Surgery Specialists Plc | Dentist | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2006-09-25 |
1588767461 | Gregory Warren Hueler | Dentist | 13875 Hwy 13 Frontage Rd, Suite 50, Savage, MN 55378 | 2006-09-06 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 55431 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.