KEITH DAVIS DDS
NPI 1861025090
Dentist - Orthodontics and Dentofacial Orthopedics in Green Bay, WI

Active since February 17, 2020
430 MAIN ST, GREEN BAY, WI 54301(920) 431-0345 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Davis Dds NPPES

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

KEITH DAVIS DDS (NPI 1861025090) is an individual orthodontics and dentofacial orthopedics provider in Green Bay, Wisconsin, licensed in Wisconsin (5000617) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1861025090
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameKEITH DAVISCredential: DDS
Location Address430 MAIN STGreen Bay, WI 54301-5115
Mailing Address3333 N Mayfair Rd Ste 311Wauwatosa, WI 53222-3219
Sole ProprietorNo
Enumeration DateFebruary 17, 2020
NPI 1861025090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in WI · 5000617
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
430 MAIN ST, Green Bay, WI 54301

Other Providers at the Same Location NPPES 20

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

Dentist (Periodontics)
430 MAIN ST
GREEN BAY, WI 54301
Dentist (General Practice)
430 MAIN ST
GREEN BAY, WI 54301
Dentist (Prosthodontics)
430 MAIN ST
GREEN BAY, WI 54301
Dentist (General Practice)
430 MAIN ST
GREEN BAY, WI 54301
Dentist (General Practice)
430 MAIN ST
GREEN BAY, WI 54301
Dentist
430 MAIN ST
GREEN BAY, WI 54301
Dentist
430 MAIN ST
GREEN BAY, WI 54301
Oral & Maxillofacial Surgery
430 MAIN ST
GREEN BAY, WI 54301

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 Davis's NPI number?

The NPI number for Keith Davis is 1861025090. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Keith Davis located?

Keith Davis practices at 430 Main St, Green Bay, WI 54301. The listed phone number is (920) 431-0345.

What is Keith Davis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Keith Davis was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.