P Praxis·MD
● Active Type 1 · Individual

Christopher Timothy Keenan, D.D.S

Dentist·Summerville, GA· NPI 1962404301 · Enumerated 2005 · 20 years on NPI
Keenan is 1 of 1 dentist providers in Summerville and 1 of 49 in Georgia.
NPI age
20 years
Enumerated 2005-08-15
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-11-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 49 active dentist providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 14% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
64 Stockade Rd
Summerville, GA 307471900
📞 7068572323fax 7068577041
Mailing address
810 River Rush Dr
Sugar Hill, GA 305187462
📞 7708267710fax 7068577041

Specialties

  • Dentist Primary
    The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. ...
    GA license #DN013152 taxonomy 1223D0001X
  • Dentist
    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.
    GA license #DN013152 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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