DR. BLAKE CLETE KEEN DDS - NPI 1033920400 - Dentist in Rancho Cucamonga, CA

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

On this page

About Dr. Blake Clete Keen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE CLETE KEEN DDS (NPI 1033920400) is an individual general practice provider in Rancho Cucamonga, California, licensed in California (111167) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1033920400

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BLAKE CLETE KEENCredential: DDS

Location Address9606 BASE LINE RDRancho Cucamonga, CA 91701-5035

Mailing AddressPo Box 9137Rancho Cucamonga, CA 91701-1137 · (909) 989-6661 · Fax (909) 989-6663

Phone(909) 989-6661

Fax(909) 989-6663

Sole ProprietorNo

Enumeration DateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1033920400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 111167

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9606 BASE LINE RD, Rancho Cucamonga, CA 91701

Open in Google Maps ↗

Frequently Asked Questions

What is Blake Keen's NPI number?

The NPI number assigned to this healthcare provider is 1033920400, enumerated as an "individual" on January 15, 2025.

Where is the provider located?

The provider is located at 9606 BASE LINE RD RANCHO CUCAMONGA, CA 91701 and the phone number is (909) 989-6661.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.