OrganizationActive
Russomanno Keane DDS PA
NPI 1720697808 · General Practice Dentistry · Maplewood, MN
Russomanno Keane DDS PA is a General Practice Dentistry organization in Maplewood, MN (NPI 1720697808).
Provider details
- NPI number
- 1720697808
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sam Jacobson, Business Manager(651) 307-4966
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1975 11th Ave E
Maplewood, MN 55109-5148
Phone: (651) 770-2900
Street-level locationGet directions
Mailing address
8910 Penn Ave S
Bloomington, MN 55431-2025
Other names (DBA / former)
- Doing business as
- Bluejay Family Dentistry
Registry dates
- Enumerated
- 2020-07-24
- Last updated
- 2020-07-24
- Certified
- 2020-07-24
Frequently asked questions
- What is Russomanno Keane DDS PA's NPI number?
- Russomanno Keane DDS PA's National Provider Identifier (NPI) is 1720697808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russomanno Keane DDS PA?
- Russomanno Keane DDS PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Russomanno Keane DDS PA located?
- Russomanno Keane DDS PA's practice location on file with NPPES is 1975 11th Ave E, Maplewood, MN 55109-5148.
- What is Russomanno Keane DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Russomanno Keane DDS PA is (651) 770-2900.
- Who is the authorized official for Russomanno Keane DDS PA?
- The authorized official listed on Russomanno Keane DDS PA's NPPES record is Sam Jacobson, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russomanno Keane DDS PA's NPI active?
- Yes — Russomanno Keane DDS PA's NPI (1720697808) is active in the NPPES registry as of the last update on 2020-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.