DR. THOMAS MAURICE KEANE JR.


Address: 8900 Penn Ave So., Suite 211, Bloomington, MN 55431
Phone: 9529203844

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
9671 MN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 776322100 05

Other Providers THOMAS KEANE

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

Office Location

Street Address 8900 PENN AVE SO.
SUITE 211
City BLOOMINGTON
State MN
Zip Code 55431

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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
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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BLOOMINGTON
Zip Code 55431

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Dataset Information

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.

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