JACK MICHAEL KEESLER DDS MSD NPI 1033563606

NPI Information

NPI: 1033563606
Provider Name: JACK MICHAEL KEESLER, DDS, MSD
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
1801 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53233
Phone: (414) 288-5485
Get Directions

Jack Michael Keesler, DDS, MSD is a prosthodontics dentist in Milwaukee, WI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Jack Michael Keesler, DDS, MSD NPI is 1033563606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1801 W WISCONSIN AVE
MILWAUKEE, WI
ZIP 53233-186
Phone: (414) 288-5485

The enumeration date for this NPI number is 4/20/2016 and was last updated on 9/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223P0700X	Dentist	Prosthodontics	1001385-15	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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