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SCOTT KEITHLEY D.D.S.
NPI 1144318692
Dentist in Lodi, CA

Active since October 10, 2006
630 S FAIRMONT AVE STE C, LODI, CA 95240(209) 334-2211(209) 334-2221 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Keithley D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT KEITHLEY D.D.S. (NPI 1144318692) is an individual dentist in Lodi, California, licensed in California (31486) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1144318692
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameSCOTT KEITHLEYCredential: D.D.S.
Location Address630 S FAIRMONT AVE STE CLodi, CA 95240-3803
Mailing Address630 S Fairmont Ave Ste CLodi, CA 95240-3803 · (209) 334-2211 · Fax (209) 334-2221
Phone(209) 334-2211
Fax(209) 334-2221
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144318692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 31486
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
630 S FAIRMONT AVE STE C, Lodi, CA 95240
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Keithley's NPI number?

The NPI number for Scott Keithley is 1144318692. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Scott Keithley located?

Scott Keithley practices at 630 S Fairmont Ave Ste C, Lodi, CA 95240. The listed phone number is (209) 334-2211.

What is Scott Keithley's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Scott Keithley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.