National Provider Identifier Database

GARY KEELER DDS ORAL MAXILLOFACIAL SURGERY LLC
Oral and Maxillofacial Surgery

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.


Contact Information

GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC
1000 LAKELAND SQUARE EXT STE 700
FLOWOOD, MS39232-7648
Phone: 601-936-3555
Fax: 601-936-3580
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC

NPI Number 1659626448
Legal business name
LBN
GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC
Authorized official GARY KEELER - (OWNER/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/17/2012
Last updated 11/08/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 347808
  • MS Medicaid: 01880393

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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