Healthcare Provider Details

I. General information

NPI: 1407410285
Provider Name (Legal Business Name): DENAE CHEYENNE KEYER DMD, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENAE CHEYENNE BRITSCH DENAE C. RUSHING

II. Dates (important events)

Enumeration Date: 04/26/2019
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COTTON RD STE 202
NASHUA NH
03063-1262
US

IV. Provider business mailing address

278 N MAIN ST
NATICK MA
01760-1123
US

V. Phone/Fax

Practice location:
  • Phone: 603-595-9119
  • Fax:
Mailing address:
  • Phone: 210-247-7019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number05388
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN10001357
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: