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

Q: 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.

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: October 18, 2026.

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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

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keystone Oral And Maxillofacial Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keystone Oral And Maxillofacial Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anthony Kasper, DDS

Maxillofacial Surgery

NPI 1912990318

36975 UTICA RD SUITE 106
Clinton Twp, MI 48036

(586) 226-2801

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Keystone Oral And Maxillofacial Surgery PC enrolled in Medicare?

Yes. Keystone Oral And Maxillofacial Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keystone Oral And Maxillofacial Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Keystone Oral And Maxillofacial Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.