Organization
GARY G. KEENER DDS, PA
Active
Organization
GARY G. KEENER DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY G KEENER DDS, PA (OWNER)
(501) 835-4655
Entity
Organization
Contact information
Practice address
9509 HIGHWAY 107, SHERWOOD, AR 72120-2634
(501) 835-4655
(501) 835-4658
Mailing address
9509 HIGHWAY 107, SHERWOOD, AR 72120-2634
(501) 835-4655
(501) 835-4658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4030062
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
01
—
58905
ARK BLUE CROSS BLUE SHIELD FEP
AR
01
—
824306
ARK BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/07/2008
Last updated
07/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up