Healthcare Provider Details

I. General information

NPI: 1437344496
Provider Name (Legal Business Name): BRIAN F. KEATING D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 S 3RD ST
STEELTON PA
17113-2516
US

IV. Provider business mailing address

395 S 3RD ST
STEELTON PA
17113-2516
US

V. Phone/Fax

Practice location:
  • Phone: 717-939-6220
  • Fax:
Mailing address:
  • Phone: 717-939-6220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS035216
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: