# KEAN DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orange County Dental Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720302540
- **Authorized official:** DR. KEVIN CHRISTOPHER KEAN DDS (PRESIDENT)
- **Authorized official phone:** (949) 789-8989

## Contact information

- **Practice address:** 15825 LAGUNA CANYON RD STE 206, IRVINE, CA 92618-2127
- **Practice address phone:** (949) 789-8989
- **Practice address fax:** (949) 453-0970
- **Mailing address:** 15825 LAGUNA CANYON RD STE 206, IRVINE, CA 92618-2127
- **Mailing address phone:** (949) 789-8989
- **Mailing address fax:** (949) 453-0970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 51085 | CA | — |
| 1223E0200X | Endodontics | 58039 | CA | — |
| 1223G0001X | General Practice Dentistry | 57739 | CA | — |
| 1223P0221X | Pediatric Dentistry | 49934 | CA | — |
| 1223P0300X | Periodontics | 24573 | CA | — |
| 1223P0300X | Periodontics | 32308 | CA | — |
| 1223P0700X | Prosthodontics | 30399 | CA | — |
| 1223P0700X | Prosthodontics | 57195 | CA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 53163 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 56328 | CA | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 30693 | CA | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 53246 | CA | — |

## Other

- **Enumeration date:** 03/23/2010
- **Last updated:** 03/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1124034129 | WILLIAM MIHRAM | CA |
| 01 | — | 1164698379 | FADI KATTAR | CA |
| 01 | — | 1184678930 | CHRISTOPHER PACE | CA |
| 01 | — | 1225118417 | SAM GILANI | CA |
| 01 | — | 1245459379 | MASSOUD KASHANCHI | CA |
| 01 | — | 1598916058 | KEVIN KEAN | CA |
| 01 | — | 1609944867 | STEVE MIAO | CA |
| 01 | — | 1720117534 | HAMILTON LE | CA |
| 01 | — | 1801003637 | BRIAN THAI | CA |
| 01 | — | 1912114059 | ALI MANOUCHEHRI | CA |