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DR. JOHN TENNIS KEAVENY DDS OMS
NPI 1770584500
Dentist - Oral and Maxillofacial Surgery in Dickinson, ND

Active since August 02, 2005
669 12TH ST W, SUITE 2, DICKINSON, ND 58601(701) 225-5163(701) 264-1032 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Tennis Keaveny Dds Oms NPPES

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

DR. JOHN TENNIS KEAVENY DDS OMS (NPI 1770584500) is an individual oral and maxillofacial surgery provider in Dickinson, North Dakota, licensed in North Dakota (1444) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1770584500
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN TENNIS KEAVENYCredential: DDS OMS
Location Address669 12TH ST W, SUITE 2Dickinson, ND 58601-3554
Mailing Address669 12th St W, Suite 2Dickinson, ND 58601-3554 · (701) 225-5163 · Fax (701) 264-1032
Phone(701) 225-5163
Fax(701) 264-1032
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateMay 21, 2015
✔ NPI 1770584500 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
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Other Identifiers 2

Medicaid41384ND
Medicare ID-Type Unspecified931444ND

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
JOHN T. KEAVENY, DDS
Dentist (Oral and Maxillofacial Surgery)
669 12TH ST W
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 Keaveny's NPI number?

The NPI number for John Keaveny is 1770584500. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is John Keaveny located?

John Keaveny practices at 669 12th St W Suite 2, Dickinson, ND 58601. The listed phone number is (701) 225-5163.

What is John Keaveny'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 Keaveny was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.