Individual provider · Type 1 NPI

Jason Ryan Keckley, DMD

General Practice Dentistry · Poway, CA

NPI number 1609139963 Active

Practice location

15725 Pomerado Rd Ste 110
Poway, CA 92064-2058

Call (858) 485-6900 Map

Fax (858) 485-5875

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X61408 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1609139963

Jason Ryan Keckley, DMD's National Provider Identifier is 1609139963, issued on Jun 21, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Poway, CA. The record was last updated on Jun 21, 2012.