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 | 
|---|
| Gender |  | 
|---|
| Speciality | Dentist - General Practice | 
|---|
| Location | 1445 Main St, East Wilton, Wilton, Maine | 
|---|
| 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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