Provider Demographics
NPI:1437344496
Name:KEATING, BRIAN F (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:F
Last Name:KEATING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:STEELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17113-2516
Mailing Address - Country:US
Mailing Address - Phone:717-939-6220
Mailing Address - Fax:
Practice Address - Street 1:395 S 3RD ST
Practice Address - Street 2:
Practice Address - City:STEELTON
Practice Address - State:PA
Practice Address - Zip Code:17113-2516
Practice Address - Country:US
Practice Address - Phone:717-939-6220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0352161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice