Adam Keenan
Individual provider Active NPI General Practice Dentistry · Prairie Du Chien, WI
NPI 1669118907 · NPPES record last updated May 10, 2022
Key facts
- NPI
- 1669118907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- NA (WI)
- Practice address
- 110 S Ohio St
Prairie Du Chien, WI 53821-1642 - Phone
- (608) 326-8458
- NPI assigned
- May 10, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NA | WI | Yes |
Addresses
Primary practice location
110 S Ohio St
Prairie Du Chien, WI 53821-1642
Mailing address
1414 E Parrish St
Prairie Du Chien, WI 53821-2917
Other providers in Prairie Du Chien, WI
- Alexa Marie Jacobsen
- Paul F Johnston
- James C Jordan
- Kurt J Jorgensen
- Lynette R Kansier
- Crystal Jean Keeney
- Melanie S Keleher
- Nancy A Key
- Robert T Key
- Gretchen Carla Kilbey
All providers in Prairie Du Chien, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.