Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russomanno Keane DDS PA

Organization General Practice Dentistry · NPI 1720697808

Russomanno Keane DDS PA is a General Practice Dentistry in Maplewood, Minnesota. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1975 11th Ave E
Maplewood, MN 55109-5148
Phone: (651) 770-2900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1720697808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Jacobson — Business Manager · (651) 307-4966
Other names Bluejay Family Dentistry
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address8910 Penn Ave S, Bloomington, MN 55431-2025

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