KEENAN SANDOUK DMD
NPI 1972111029
Dentist - General Practice in Warwick, RI

Active since July 15, 2020
1009 MAIN AVE, WARWICK, RI 02886(401) 737-1929(401) 737-2140 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Jul 15, 2020 (2 updates tracked since 2020).

About Keenan Sandouk Dmd NPPES

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

KEENAN SANDOUK DMD (NPI 1972111029) is an individual general practice provider in Warwick, Rhode Island, licensed in Rhode Island (DEN03550) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1972111029
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEENAN SANDOUKCredential: DMD
Location Address1009 MAIN AVEWarwick, RI 02886-1972
Mailing Address1009 Main AveWarwick, RI 02886-1972 · (401) 737-1929
Fax(401) 737-2140
Sole ProprietorYes
Enumeration DateJuly 15, 2020
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
NPI 1972111029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in RI · DEN03550
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.
1009 MAIN AVE, Warwick, RI 02886

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1009 MAIN AVE
WARWICK, RI 02886
Dentist (General Practice)
1009 MAIN AVE
WARWICK, RI 02886

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 Keenan Sandouk's NPI number?

The NPI number for Keenan Sandouk is 1972111029. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Keenan Sandouk located?

Keenan Sandouk practices at 1009 Main Ave, Warwick, RI 02886. The listed phone number is (401) 737-1929.

What is Keenan Sandouk's specialty?

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

What insurance does Keenan Sandouk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Keenan Sandouk 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 Keenan Sandouk was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.