Keene Periodontic Specialists LLC
NPI #1275602179 in Keene, New Hampshire
Provider Information
- NPI Number
- 1275602179
- Entity Type
- Organization
- Organization Name
- Keene Periodontic Specialists LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 222 WEST ST
- Address 2
- SUITE 14
- City
- Keene
- State
- New Hampshire
- ZIP Code
- 03431-2455
- Phone
- (603) 352-0099
Authorized Official
- Name
- JEFFREY WILLIAM RODDEN, DDS
- Title
- MANAGING MEMBER
- Phone
- (603) 352-0099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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