CHRISTOPHER TIMOTHY KEENAN (NPI# 1962404301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962404301 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER TIMOTHY KEENAN |
| Credential | D.D.S |
| Practice Address |
64 Stockade Rd Summerville GA 30747-1900 |
| Mailing Address |
810 River Rush Dr Sugar Hill GA 30518-7462 |
| Practice Telephone | 7068572323 |
| Practice Fax Number | 7068577041 |
| Mailing Telephone | 7708267710 |
| Mailing Fax Number | 7068577041 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DN013152 | GA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN013152 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407219165 | Christopher Degraffenried Keenan Jr. | Behavioral Analyst | 1505 Blanding St, Columbia, SC 29201-2906 | 2016-03-31 |
| 1487945663 | Christopher Michael Keenan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208-3412 | 2011-04-22 |
| 1497778237 | Christopher Keenan | Pediatrics | 505 Bay Ave, Bayside Commons, Somers Point, NJ 08244 | 2006-07-25 |
| 1851389209 | Christopher Jon Keenan | Family Medicine | 1735 S Public Rd # 100, Lafayette, CO 80026-7093 | 2005-10-10 |
| Street Address |
64 STOCKADE RD |
| City | SUMMERVILLE |
| State | GA |
| Zip Code | 30747-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831447325 | Abigail Faul | Dentist | 64 Stockade Rd, Summerville, GA 30747-1900 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295162121 | Erin Marks Pledger | Counselor | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1124377700 | Vickie Darlene Hice | Occupational Therapist | 1079 Brooks Road, Summerville, GA 30747 | 2012-08-29 |
| 1033479340 | Magdana Philossaint | Social Worker | 9991 Commerce St., Summerville, GA 30747 | 2012-05-21 |
| 1265667828 | Christina Douglass | Family Medicine | 11766 Hwy 27 North, Summerville, GA 30747 | 2009-05-26 |
| 1922118199 | Melissa June Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1871920710 | Tyler Wayne Pledger | Behavioral Analyst | 7563 Hwy. 337, Summerville, GA 30747 | 2013-10-10 |
| 1750506622 | Patrick A Parrino | Dentist | 19 Walnut Ave, Summerville, GA 30747 | 2007-04-16 |
| 1811007099 | Richard Dennis Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1942310107 | Richard Keith Compton | Dentist | 215 Farrar Drive, Summerville, GA 30747 | 2006-08-30 |
| 1336339076 | Summerville Chiropractic, Inc. | Chiropractor | 74 Highway 48, Summerville, GA 30747-0424 | 2007-07-30 |
| Find all providers in zip 30747 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992862742 | Alwyn Frederick Solomon | Dentist | 1971 N Main Street, Summerville, SC 29483 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380840 | Polish Dental Center Alpharetta LLC | Dentist | 4640 Valais Ct Ste 102, Alpharetta, GA 30022-2606 | 2020-09-14 |
| 1275150294 | James Patrick Cook | Dentist | 127 Telfair St Fl 3, Augusta, GA 30901-2590 | 2020-06-26 |
| 1215313044 | Georgia Dental Professionals, PC | Dentist | 6005 Watson Blvd Suite 200, Byron, GA 31008 | 2015-08-04 |
| 1043650377 | F. Allen Shaw | Dentist | 6743 Beaver Trl, Midland, GA 31820-3836 | 2013-07-01 |
| 1205167962 | Dana E Nelson Witherspoon | Dentist | 2000 Riverside Parkway, Suite 200, Great Expressions Dental Centers of Georgia, PC, Lawrenceville, GA 30043 | 2010-01-20 |
| 1578701157 | Allen Michael Vergen | Dentist | 501 N Pierce St, Alma, GA 31510-2445 | 2009-02-04 |
| 1114181138 | Gainesville Dental Group LLC | Dentist | 1026 Thompson Bridge Road, Gainesville, GA 30501-1704 | 2008-07-18 |
| 1326170663 | Jerry Lamar Thomas | Dentist | 128 Martin Luther King Jr Ct, Lagrange, GA 30241-3656 | 2007-03-12 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1033260898 | Janine E. Randall | Dentist | 4199 Paces Ferry Rd Se, Suite D, Atlanta, GA 30339-5750 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 30747 |
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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.