# SHANNON KEYES DMD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235533241
- **Authorized official:** DR. SHANNON M KEYES DMD (DENTIST)
- **Authorized official phone:** (609) 971-7900

## Contact information

- **Practice address:** 34 MANCHESTER AVE, SUITE 204, FORKED RIVER, NJ 08731-1366
- **Practice address phone:** (609) 971-7900
- **Practice address fax:** (609) 971-7799
- **Mailing address:** 34 MANCHESTER AVE, SUITE 204, FORKED RIVER, NJ 08731-1366
- **Mailing address phone:** (609) 971-7900
- **Mailing address fax:** (609) 971-7799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DIO2191700 | NJ | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 22DIO101150701 | NJ | — |

## Other

- **Enumeration date:** 10/20/2014
- **Last updated:** 10/20/2014