Keane E. Fedosky, D.D.S.

General Practice Dentistry · Rowlett, TX

Individual Active NPI

NPI number 1528280351

Practice location

4518 Rowlett Rd
Rowlett, TX 75088-5081
Phone
(972) 475-0301
Fax
(972) 463-3849

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NPI record

NPI
1528280351
Entity type
Individual (Type 1)
Enumeration date
May 2, 2007
Last updated
April 27, 2022
Certified
April 27, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 16705 TX

Mailing address

P.O. Box 1490
Rowlett, TX 75030-1490
Phone
(972) 475-0301
Fax
(972) 463-3849

Other practice locations (1)

  • 3447 Renner Rd # 100A, Plano, TX 75074-0051 · (972) 496-0515

About Dr. Fedosky

Keane E. Fedosky, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4518 Rowlett Rd, Rowlett, TX 75088-5081. The NPI number 1528280351 was assigned on May 2, 2007 and the record was last updated on April 27, 2022.

Dr. Fedosky lists a license in the registry: #16705 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keane E. Fedosky, D.D.S.?

The NPI number is 1528280351.

What is the phone number of Dr. Fedosky?

The phone number listed for the practice location is (972) 475-0301.

Where is Dr. Fedosky located?

4518 Rowlett Rd, Rowlett, TX 75088-5081.

What is the taxonomy code for Dr. Fedosky?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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