DR. MATTHEW JAY KECKEISEN DMD NPI 1740663830

NPI Information

  • NPI: 1740663830
  • Provider Name: DR. MATTHEW JAY KECKEISEN, DMD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: LANDSTHUL REGIONAL MEDICAL CENTER
    UNIT 33100
    APO, AE
    ZIP 09180
  • Phone: (314) 636-9408

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NPI Details

DR. Matthew Jay Keckeisen, DMD is a pediatric dentistry dentist in Apo, AE. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Matthew Jay Keckeisen, DMD NPI is 1740663830. 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:

LANDSTHUL REGIONAL MEDICAL CENTER
UNIT 33100
APO, AE
ZIP 09180-100
Phone: (314) 636-9408

The enumeration date for this NPI number is 7/7/2015 and was last updated on 8/16/2023.

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
11223G0001XDentistGeneral Practice8589SOUTH CAROLINANo
21223P0221XDentistPediatric Dentistry8589SOUTH CAROLINAYes
3122300000XDentist8589SOUTH CAROLINANo

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: 11/21/2025

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