CHRISTOPHER TIMOTHY KEENAN (D.D.S) – Public Health Dentistry, NPI 1962404301

CHRISTOPHER TIMOTHY KEENAN (D.D.S) is a healthcare provider. based in Summerville, Georgia. specializing in Public Health Dentistry. They hold the professional credentials D.D.S. They hold a License No. DN013152 (GA). The NPI Number for CHRISTOPHER TIMOTHY KEENAN (D.D.S) is 1962404301

Main info

Male
Sole Proprietor
Name
CHRISTOPHER TIMOTHY KEENAN (D.D.S)
NPI
1962404301
Phone
(706) 857-2323
Address
64 STOCKADE RD
Enumeration Date
15 August 2005
Last Update Date
14 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CHRISTOPHER TIMOTHY KEENAN (D.D.S)

  • 64, Stockade Road, Summerville, Chattooga County, Georgia, 30747, United States

    SUMMERVILLE, GA 307471900

    Phone: (706) 857-2323

    Fax: (706) 857-7041

    Type: Location

  • 810 RIVER RUSH DR

    SUGAR HILL, GA 305187462

    Phone: (770) 826-7710

    Fax: (706) 857-7041

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Ultradent Products Inc ($217).

Total Amount

$217

General + Research + Ownership

Payments

1

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ultradent Products Inc$217
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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-09

PECOS data refreshed: 2026-06-15

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30747)

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Reviews

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Frequently asked questions

What federal number belongs to CHRISTOPHER TIMOTHY KEENAN (D.D.S)?
The federal identifier for CHRISTOPHER TIMOTHY KEENAN (D.D.S) is NPI 1962404301.
Is CHRISTOPHER TIMOTHY KEENAN (D.D.S) active in the national directory?
CHRISTOPHER TIMOTHY KEENAN (D.D.S)'s public NPI profile is in an active state.
Can you summarize CHRISTOPHER TIMOTHY KEENAN (D.D.S)'s specialty in plain language?
Clinically, the directory lists CHRISTOPHER TIMOTHY KEENAN (D.D.S) with Public Health Dentistry. Clinical services aligned with this taxonomy classification.
What location shows for CHRISTOPHER TIMOTHY KEENAN (D.D.S)?
We surface Summerville, Georgia for CHRISTOPHER TIMOTHY KEENAN (D.D.S) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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