Provider Demographics
NPI:1528270386
Name:DANIEL P. KEENAN DDS PA
Entity type:Organization
Organization Name:DANIEL P. KEENAN DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:KEENAN
Authorized Official - Suffix:I
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-436-9004
Mailing Address - Street 1:545 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5400
Mailing Address - Country:US
Mailing Address - Phone:603-436-9004
Mailing Address - Fax:603-436-5204
Practice Address - Street 1:545 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5400
Practice Address - Country:US
Practice Address - Phone:603-436-9004
Practice Address - Fax:603-436-5204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH24161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty