Courtney Keough

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN5256 Issued in ME

Practice address

1445 Main St, East Wilton
Wilton, ME 04234

Phone

(207) 645-9522

NPI assigned

Jun 30, 2025

Last updated

Jun 30, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benton Dental P.C

  • Dental Clinic/Center
  • East Wilton, ME
  • NPI 1598159980
  NPD (past)
• Dr. Thomas J Pastor DDS PA

  dba Wilson Stream Family Dentistry

  • Dental Clinic/Center
  • East Wilton, ME
  • NPI 1245896430
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1124917794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAMS RD",
            "city": "MINOT",
            "state": "ME",
            "postal_code": "042585035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 MAIN ST, EAST WILTON",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "04234",
            "telephone_number": "207-645-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOUGH",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN5256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eq Maine LLC
• Sierra Irene Fay
• John Henkel
• Karen Jacques, LMSW-CC
• Kathleen May Danforth
• Life Enrichment Advancing People, Inc.
• Trinity Nicole Macomber, LCSW
• Marie Royer
• Kendra Clair McGeorge
• Morning Star Counseling & Support Services, LLC

• General Practice Dentistry in Wilton, ME
• Providers in Wilton, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.