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KEYSTONE ORAL AND MAXILLOFACIAL SURGERY PC
NPI 1427457191
Dentist - Oral and Maxillofacial Surgery in Clinton Township, MI

Active since August 19, 2014
36975 UTICA RD, SUITE 106, CLINTON TOWNSHIP, MI 48036(586) 226-2801(586) 226-1519 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keystone Oral And Maxillofacial Surgery Pc NPPES

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

KEYSTONE ORAL AND MAXILLOFACIAL SURGERY PC (NPI 1427457191) is a healthcare organization registered as an oral and maxillofacial surgery in Clinton Township, Michigan and active in the NPI registry since August 2014. The organization lists Anthony E Kasper, Owner, as its authorized official.

NPPES Registry Identity

NPI1427457191
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKEYSTONE ORAL AND MAXILLOFACIAL SURGERY PC
Location Address36975 UTICA RD, SUITE 106Clinton Township, MI 48036-1685
Mailing Address36975 Utica Rd, Suite 106Clinton Township, MI 48036-1685 · (586) 226-2801 · Fax (586) 226-1519
Phone(586) 226-2801
Fax(586) 226-1519
Organization SubpartNo
Authorized OfficialAnthony E KasperOwner · (586) 914-0093
Enumeration DateAugust 19, 2014
Last NPPES UpdateOctober 27, 2014
✔ NPI 1427457191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901017390
Definition

An oral and maxillofacial surgery dentist specialized in 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.

36975 UTICA RD, Clinton Township, MI 48036
Open in Google Maps ↗

Other Identifiers 2

Other0E04308MI · Blue Cross Blue Shield
Medicare PINMI7945MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OWEN PFAENDTNER MSW, CSW
Social Worker (Clinical)
36975 UTICA RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 226-3440
ROBYN N LENTZ LMSW
Social Worker (Clinical)
36975 UTICA RD, SUITE 100
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 226-3440
TABITHA NICOLE MISKOKOMON LLPC
Counselor (Mental Health)
36975 UTICA RD
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 260-4209
NAHAWAND ABU-ISA MA LPC
Social Worker (Clinical)
36975 UTICA RD, STE 103
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 226-3440
MACOMB FAMILY SERVICES, INC
Social Worker (Clinical)
36975 UTICA RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 226-3440
MR. EDWARD FIELDS IV LLPC
Counselor (Professional)
36975 UTICA RD
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 596-2605
ASCENSION MEDICAL GROUP MICHIGAN
Family Medicine
36975 UTICA RD, SUITE 102
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 228-0500
MRS. KELLY JOANNE HAAS M.A., LPC
Counselor (Addiction (Substance Use Disorder))
36975 UTICA RD
CLINTON TOWNSHIP, MI 48036
Macomb County (586) 649-3951

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 Keystone Oral And Maxillofacial Surgery PC's NPI number?

The NPI number for Keystone Oral And Maxillofacial Surgery PC is 1427457191. It was assigned to this organization in the NPPES registry on August 19, 2014.

Where is Keystone Oral And Maxillofacial Surgery PC located?

Keystone Oral And Maxillofacial Surgery PC is located at 36975 Utica Rd Suite 106, Clinton Township, MI 48036. The listed phone number is (586) 226-2801.

What is Keystone Oral And Maxillofacial Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Keystone Oral And Maxillofacial Surgery PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Keystone Oral And Maxillofacial Surgery PC 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 Keystone Oral And Maxillofacial Surgery PC was last updated on October 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.