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Contact Information

GEORGE A KEANNA, DDS
1100 LEAD AVE SE
ALBUQUERQUE, NM87106-5215
 Phone: 505-292-8533
 Fax: 505-292-2712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GEORGE A KEANNA · (Male)

NPI # 1073601506
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/10/2006
Last updated 07/21/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # DD2161
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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