GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC – NPI #1659626448
Clinic/Center
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC is an AHC clinic located in FLOWOOD, MS. NPPES has assigned the NPI number 1659626448 to GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC on July 17, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery
The NPI profile was previously updated about 8 years ago on Nov 08, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC below.
NPI Profile for
GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC
(about 14 years ago)
FLOWOOD, MS 39232-7648 Phone: (601) 936-3555 Fax: (601) 936-3580
1 Other location(s):
Jackson, MS 39216
Phone: (601) 487-6243
Fax: (601) 487-6310
RIDGELAND, MS 39157-1900 Phone: (601) 936-3555 Fax: (601) 936-3580
OWNER/MANAGER
Phone: (601) 936-3555
Identifiers for GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MS | 01880393 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QS0112X - Clinic/Center / Oral and Maxillofacial Surgery (Primary) |
||
| 1223S0112X - Dentist / Oral and Maxillofacial Surgery |
MS | 347808 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.