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Active NPI 1972111029 Individual Practitioner Male Practitioner

Dr. Keenan Sandouk , DMD

Dentist - General Practice • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Dr. Keenan Sandouk, DMD is a registered healthcare professional specializing in Dentist - General Practice in Warwick, RI. Practice services are available at 1009 MAIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1009 Main Ave

Warwick, RI 028861972

Telephone 4017371929
Fax 4017372140
Associated Practice Facility / Clinic
🏢 Gabriel M Hayek Dmd Facility NPI 1356094783

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Warwick, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
40 Specialists

Practicing in Warwick, RI (373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License RI DEN03550

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gabriel Hayek , DMD

Dentist - General Practice

NPI 1437186699

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 12, 2026

Registered at 1009 MAIN AVE, WARWICK, RI 028861972 (Tel: 4017371929)

📍
Updated Business Mailing Address March 12, 2026

Registered at 1009 MAIN AVE, WARWICK, RI 028861972 (Tel: 4017371929)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2026

Dentist (License #DEN03550 in RI)

NPI Profile Active July 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2020

Registered at 830 CHALKSTONE AVE, PROVIDENCE, RI 029084734 (Tel: 4012737100)

📍
Updated Business Mailing Address July 15, 2020

Registered at 830 CHALKSTONE AVE, PROVIDENCE, RI 029084734 (Tel: 4012737100)

👤
Provider Name / Credentials Updated July 15, 2020

Recorded as KEENAN SANDOUK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972111029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2020
Last Update: March 12, 2026
Sole Proprietor: Yes

Mailing Address

1009 Main Ave

Warwick, RI 028861972

Phone: 4017371929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.