1. Home
  2. Directory
  3. North Dakota
  4. Dickinson
  5. Dentist
  6. NPI Profile

ORAL & MAXILLOFACIAL SURGERY
NPI 1568676310
Dentist - Oral and Maxillofacial Surgery in Dickinson, ND

Active since May 10, 2007
669 12TH ST W, DICKINSON, ND 58601(701) 225-5163(701) 264-1032 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oral & Maxillofacial Surgery NPPES

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

ORAL & MAXILLOFACIAL SURGERY (NPI 1568676310) is a healthcare organization registered as an oral and maxillofacial surgery in Dickinson, North Dakota and active in the NPI registry since May 2007. The organization lists John Teunis Keaveny, Owner, as its authorized official.

NPPES Registry Identity

NPI1568676310
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJOHN T. KEAVENY, DDS
Location Address669 12TH ST WDickinson, ND 58601-3554
Mailing Address669 12th St WDickinson, ND 58601-3554 · (701) 225-5163 · Fax (701) 264-1032
Phone(701) 225-5163
Fax(701) 264-1032
Organization SubpartNo
Authorized OfficialJohn Teunis KeavenyOwner · (701) 225-5163
Enumeration DateMay 10, 2007
Last NPPES UpdateOctober 4, 2007
✔ NPI 1568676310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ND · 1444
Definition
An oral and maxillofacial surgery dentist specialized in 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.
669 12TH ST W, Dickinson, ND 58601
Open in Google Maps ↗

Other Names 1

Other NameOral & Maxillofacial Surgery

Other Identifiers 4

Medicare ID-Type UnspecifiedN931444ND · Medical
Other26747ND · Bcbs Medical
Medicaid41384ND
Other949318ND · Dsc Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. LONNIE SCOTT NEUBERGER DDS
Dentist
669 12TH ST W
DICKINSON, ND 58601
Stark County (701) 483-3462
DR. MELISSA MARIE EBERTS D.D.S.
Dentist
669 12TH ST W
DICKINSON, ND 58601
Stark County (701) 483-4746
MARIA DOROTHY MEYER D.D.S.
Dentist
669 12TH ST W
DICKINSON, ND 58601
Stark County (701) 483-4746
HIGH PLAINS DENTAL
Dentist (General Practice)
669 12TH ST W
DICKINSON, ND 58601
Stark County (701) 483-4746
DR. JOHN TENNIS KEAVENY DDS OMS
Dentist (Oral and Maxillofacial Surgery)
669 12TH ST W, SUITE 2
DICKINSON, ND 58601
Stark County (701) 225-5163
DR. EVAN E ENTZE DDS
Dentist
669 12TH ST W
DICKINSON, ND 58601
Stark County (701) 483-4746

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 John T. Keaveny, Dds's NPI number?

The NPI number for John T. Keaveny, Dds is 1568676310. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is also known as Oral & Maxillofacial Surgery.

Where is John T. Keaveny, Dds located?

John T. Keaveny, Dds is located at 669 12th St W, Dickinson, ND 58601. The listed phone number is (701) 225-5163.

What is John T. Keaveny, Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for John T. Keaveny, Dds was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.