Keckeisen, Matthew Jay

Keckeisen, Matthew Jay is an individual health care provider with primary practice located at Landsthul Regional Medical Center Unit 33100, Apo AE 09180-3100. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Dentist. Dental Providers / Pediatric Dentistry is his primary health care specialty. Keckeisen, Matthew Jay can be contacted via phone (314) 636-9408.

Contact Information

Primary practice address
Landsthul Regional Medical Center Unit 33100 Apo AE 09180-3100
Phone: (314) 636-9408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8589 South Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 8589 South Carolina
Dental Providers / Dentist 122300000X 8589 South Carolina

Profile Details

NPI number 1740663830
LBN Legal business name Keckeisen, Matthew Jay
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2015
Last updated Aug 16th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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