Keener, Gary G.
Keener, Gary G. is an sole proprietor health care provider with primary practice located at 9509 Highway 107 , Sherwood AR 72120-2634. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keener, Gary G. can be contacted via phone (501) 835-4655.Contact Information
Primary practice address
9509 Highway 107
Sherwood AR 72120-2634
Phone: (501) 835-4655
Fax: (501) 835-4658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2233 | Arkansas |
Profile Details
| NPI number | 1861584781 |
|---|---|
| LBN Legal business name | Keener, Gary G. |
| Credentials | D.D.S., P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861584781 | NPPES |
| Arkansas | Other | 824306 | BLUE CROSS BLUE SHIELD |
| Arkansas | Other | 58905 | BLUE CROSS BLUE SHIELD |
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