Organization
RUSSOMANNO KEANE DDS PA
Active
Other names
Bluejay Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SAM JACOBSON (BUSINESS MANAGER)
(651) 307-4966
Entity
Organization
Contact information
Practice address
1975 11TH AVE E, MAPLEWOOD, MN 55109-5148
(651) 770-2900
Mailing address
8910 PENN AVE S, BLOOMINGTON, MN 55431-2025
(952) 881-0504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us