DR. KEITH CHRISTOPHER KEALEY (NPI# 1083685374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083685374 |
| Entity Type | Individual |
| Full Name | DR. KEITH CHRISTOPHER KEALEY |
| Credential | DMD |
| Practice Address |
16 Airport Rd Attn: Karleen Mckenney West Lebanon NH 03784-1681 |
| Practice Telephone | 6032987557 |
| Mailing Telephone | 6032987557 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2011-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
60194 | CA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
03876 | NH | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
22DI01811500 | NJ | Dental Providers |
| Street Address |
16 AIRPORT RD ATTN: KARLEEN MCKENNEY |
| City | WEST LEBANON |
| State | NH |
| Zip Code | 03784-1681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887876 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2020-10-01 |
| 1578940730 | Charles Burchfield | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2015-04-27 |
| 1922214469 | Jill Brinkman | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2007-05-14 |
| 1205895927 | Craig H Cohen | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2006-03-21 |
| 1184683906 | Keith C Rogerson | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313637 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 262 Planfield Road, West Lebanon, NH 03784 | 2020-10-15 |
| 1851776108 | Jessica Michelle Eid | Optometrist | 10 Benning St Ste 10, West Lebanon, NH 03784 | 2015-07-29 |
| 1972666774 | Richard Daniel Blake | Chiropractor | 8 Glen Road, Powerhouse Mall, W Lebanon, NH 03784 | 2006-12-19 |
| 1629159629 | Linda M Wierwille | Marriage & Family Therapist | Child and Family Services 3 Abbott Avenue, West Lebanon Plaza, West Lebanon, NH 03784 | 2006-10-17 |
| 1154352284 | K Mart Corp | Pharmacy | Rte 12 A, West Lebanon, NH 03784 | 2006-07-06 |
| 1770057572 | Angelica Ema Walsh | Physician Assistant | 24 Airport Rd, West Lebanon, NH 03784 | 2019-01-15 |
| 1477077790 | Alexandra Culver | Pharmacist | 3 Airport Rd, West Lebanon, NH 03784 | 2017-07-28 |
| 1215204961 | Maine Professional Opticians | Hearing Instrument Specialist | 8 Glen Rd, 23 Power House Mall, West Lebanon, NH 03784 | 2011-11-23 |
| 1487734190 | Jennifer R Kravitz | Physical Therapist | 103 S Main St, Green Mountain Physical Therapy Lnc, W Lebanon, NH 03784 | 2006-10-17 |
| 1982252805 | Michelle Kathryn Grojean | Speech-Language Pathologist | 55 Sachem Cir, West Lebanon, NH 03784-1029 | 2019-09-04 |
| Find all providers in zip 03784 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073600706 | The Center for Oral and Maxillofacial Surgery Professional Association | Dentist | 16 Airport Road, West Lebanon, NH 03766-1681 | 2006-10-06 |
| 1578940730 | Charles Burchfield | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2015-04-27 |
| 1922214469 | Jill Brinkman | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2007-05-14 |
| 1205895927 | Craig H Cohen | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2006-03-21 |
| 1184683906 | Keith C Rogerson | Dentist | 16 Airport Rd, West Lebanon, NH 03784-1681 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024487 | Exeter Dental Implant and Oral Surgery Center | Dentist | 21 Hampton Rd Ste 202, Exeter, NH 03833-4800 | 2020-08-18 |
| 1184170755 | Lowell Oral Surgery Associates, Inc | Dentist | 20 Cotton Rd, Suite 202, Nashua, NH 03063-1262 | 2016-09-01 |
| 1821353772 | Jesse Snow | Dentist | 200 Griffin Rd Ste 8, Portsmouth, NH 03801-7145 | 2012-07-06 |
| 1396036208 | David Altobelli | Dentist | 74 Crestwood Dr, Hollis, NH 03049-6003 | 2011-04-26 |
| 1982906467 | White Birch Oral Surgery, Pllc | Dentist | 44 Dover Point Rd Unit C, Dover, NH 03820-4669 | 2010-12-03 |
| 1013191154 | Dr. Charles H. Henry | Dentist | 40 Mechanic Street, Keene, NH 03431 | 2007-12-26 |
| 1962603548 | Vincent Peter Corbett Jr. | Dentist | 134 Walnut Ave, North Hampton, NH 03862-2047 | 2007-05-30 |
| 1871613539 | Great Bay Oral Surgery Associates Pa | Dentist | 259 Route 108, Somersworth, NH 03878-1512 | 2007-03-29 |
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1063502516 | Kyle R Stiefel | Dentist | 166 Plaistow Rd Unit 3, Plaistow, NH 03865-2843 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST LEBANON |
| Zip Code | 03784 |
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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.