Individual
DR. BRIAN J KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
500 GETTYSBURG PIKE, MECHANICSBURG, PA 17055-5155
(717) 697-4609
(717) 691-5959
Mailing address
334 SOUTHVIEW DR, MECHANICSBURG, PA 17055-5258
(717) 691-1615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN026063A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143412
UNITED CONCORDIA
PA
Enumeration date
12/05/2006
Last updated
07/08/2007
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