DR. KEITH L STAEHLY DDS
NPI 1295897361
Dentist - General Practice in Green Bay, WI

Q: What is Keith Staehly's NPI number?

The NPI number for Keith Staehly is 1295897361. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Keith Staehly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Keith Staehly 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.

Active since December 15, 2006

528 S IRWIN AVE, GREEN BAY, WI 54301(920) 465-9465 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Keith L Staehly Dds NPPES

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

DR. KEITH L STAEHLY DDS (NPI 1295897361) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (5001404-015) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1295897361

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEITH L STAEHLYCredential: DDS

Location Address528 S IRWIN AVEGreen Bay, WI 54301-3846

Mailing Address528 S Irwin AveGreen Bay, WI 54301-3846 · (920) 465-9465

Phone(920) 465-9465

Sole ProprietorNo

Enumeration DateDecember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1295897361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 5001404-015

Definition

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.

528 S IRWIN AVE, Green Bay, WI 54301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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 Keith Staehly's NPI number?

The NPI number for Keith Staehly is 1295897361. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Keith Staehly located?

Keith Staehly practices at 528 S Irwin Ave, Green Bay, WI 54301. The listed phone number is (920) 465-9465.

What is Keith Staehly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Keith Staehly accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Keith Staehly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Staehly 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.