DR. KEITH A FINCANNON D.M.D.
NPI 1164638383
Dentist - General Practice in Dillon, SC

Q: What is Keith Fincannon's NPI number?

The NPI number for Keith Fincannon is 1164638383. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Keith Fincannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Keith Fincannon was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 15, 2007PECOS Enrolled

101 E JACKSON ST, DILLON, SC 29536(843) 774-7762(843) 774-7920 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Keith A Fincannon D.m.d. NPPES

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

DR. KEITH A FINCANNON D.M.D. (NPI 1164638383) is an individual general practice provider in Dillon, South Carolina, licensed in South Carolina (3210) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164638383

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEITH A FINCANNONCredential: D.M.D.

Location Address101 E JACKSON STDillon, SC 29536-2421

Mailing Address348 Rabbit Island RdLake View, SC 29563-5362 · (843) 759-0175 · Fax (843) 774-7920

Phone(843) 774-7762

Fax(843) 774-7920

Sole ProprietorNo

Enumeration DateMay 15, 2007

Last NPPES UpdateAugust 18, 2016

✔ NPI 1164638383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 3210

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.

101 E JACKSON ST, Dillon, SC 29536

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Other Identifiers 2

MedicaidZ32108SC

Medicaid8992681NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keith A Fincannon D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD KENT BRACEY D.M.D.

Dentist (General Practice)

101 E JACKSON ST
DILLON, SC 29536

Dillon County (843) 774-7662

DR. DANIEL WALTER MILLER, JR D.M.D.

Dentist (General Practice)

101 E JACKSON ST
DILLON, SC 29536

Dillon County (843) 774-7662

DILLON FAMILY DENTAL CENTER PC

Dentist (General Practice)

101 E JACKSON ST
DILLON, SC 29536

Dillon County (843) 774-7662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Fincannon's NPI number?

The NPI number for Keith Fincannon is 1164638383. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Keith Fincannon located?

Keith Fincannon practices at 101 E Jackson St, Dillon, SC 29536. The listed phone number is (843) 774-7762.

What is Keith Fincannon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Keith Fincannon enrolled in Medicare?

Yes. Keith Fincannon is registered in the Medicare PECOS enrollment system.

What insurance does Keith Fincannon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Keith Fincannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Fincannon was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.