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NPI Code Detail

MEDICARE: DR. ROBERT KEITH ROONEY DDS PC

MEDICARE: DR. ROBERT KEITH ROONEY DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12009264IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1352010354OTHERINFEDERAL TAX IDENTIFICATIO

General Provider Information

NPI Number : 1689662298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT KEITH ROONEY DDS PC
Provider Business Mailing Address
First Line : 7625 S MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-4257
Country : US
Telephone Number : 317-881-8271
Fax Number : 317-884-0406
Provider Business Practice Location Address
First Line : 1121 W MICHIGAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5211
Country : US
Telephone Number : 317-274-7433
Fax Number : 317-278-6958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 01/20/2026

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Directions to “ DR. ROBERT KEITH ROONEY DDS PC” Practice Location

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