Organization · Type 2 NPI

Russomanno Keane DDS PA

General Practice Dentistry · Maplewood, MN

NPI number 1720697808 Active

Practice location

1975 11th Ave E
Maplewood, MN 55109-5148

Call (651) 770-2900 Map

Mailing address

8910 Penn Ave S
Bloomington, MN 55431-2025

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

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About NPI 1720697808

Russomanno Keane DDS PA's National Provider Identifier is 1720697808, issued on Jul 24, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Maplewood, MN. The record was last updated on Jul 24, 2020.