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GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC
NPI 1659626448
Clinic/Center - Oral and Maxillofacial Surgery in Flowood, MS

Active since July 17, 2012
1000 LAKELAND SQUARE EXT STE 700, FLOWOOD, MS 39232(601) 936-3555(601) 936-3580 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary Keeler Dds, Oral Maxillofacial Surgery Llc NPPES

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

GARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC (NPI 1659626448) is a healthcare organization registered as an oral and maxillofacial surgery in Flowood, Mississippi and active in the NPI registry since July 2012. The organization maintains a secondary practice location in Jackson and lists Gary Keeler, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1659626448
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameGARY KEELER DDS, ORAL MAXILLOFACIAL SURGERY LLC
Location Address1000 LAKELAND SQUARE EXT STE 700Flowood, MS 39232-7648
Mailing Address1060 E County Line Rd Ste 3a-213Ridgeland, MS 39157-1900 · (601) 936-3555 · Fax (601) 936-3580
Phone(601) 936-3555
Fax(601) 936-3580
Organization SubpartNo
Authorized OfficialGary KeelerOwner/manager · (601) 936-3555
Enumeration DateJuly 17, 2012
Last NPPES UpdateNovember 8, 2018
✔ NPI 1659626448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition

An oral and maxillofacial surgery clinic or center 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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 347808 (MS)
1000 LAKELAND SQUARE EXT STE 700, Flowood, MS 39232
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Other Names 1

Doing Business AsGary Keeler Dds, Oral Maxillofacial Surgery Llc

Secondary Practice Location 1

Location 1514G E. Woodrow Wilson DriveJackson, MS 39216 · Phone (601) 487-6243 · Fax (601) 487-6310

Other Identifiers 1

Medicaid01880393MS

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

Other Providers at the Same Location NPPES

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

SHELDON WILLIS, D.D.S., PLLC
Dentist (General Practice)
1000 LAKELAND SQUARE EXT STE 700
FLOWOOD, MS 39232
Rankin County (601) 933-0009

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 Gary Keeler Dds, Oral Maxillofacial Surgery LLC's NPI number?

The NPI number for Gary Keeler Dds, Oral Maxillofacial Surgery LLC is 1659626448. It was assigned to this organization in the NPPES registry on July 17, 2012.

Where is Gary Keeler Dds, Oral Maxillofacial Surgery LLC located?

Gary Keeler Dds, Oral Maxillofacial Surgery LLC is located at 1000 Lakeland Square Ext Ste 700, Flowood, MS 39232. The listed phone number is (601) 936-3555.

What is Gary Keeler Dds, Oral Maxillofacial Surgery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Gary Keeler Dds, Oral Maxillofacial Surgery LLC was last updated on November 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.