Courtney Keough, is a
Dentist - General Practice based in Wilton, Maine. Courtney Keough is licensed to practice in Maine (license number DEN5256) and current practice location is
1445 Main St, East Wilton, Wilton, Maine. can be reached at office (for appointments etc.) via phone at
(207) 645-9522.
NPI number for Courtney Keough is 1124917794 and current mailing address is 9 Sams Rd, Minot, Maine.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1124917794.
Healthcare Provider's Profile
Full Name | Courtney Keough |
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Gender | |
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Speciality | Dentist - General Practice |
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Location | 1445 Main St, East Wilton, Wilton, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124917794
- Provider Enumeration Date: 06/30/2025
- Last Update Date: 06/30/2025
Medical Identifiers
Medical identifiers for Courtney Keough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124917794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DEN5256 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Keough is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Courtney Keough, 9 Sams Rd, Minot, ME 04258-5035 Ph: () - | Courtney Keough, 1445 Main St, East Wilton, Wilton, ME 04234 Ph: (207) 645-9522 |
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