Active NPIIndividual provider

Blaine Keister, DMD

Dentist, General Practice in Holmdel, New Jersey

NPI Number1083876031
Practice location
146 Route 34, Holmdel, NJ 07733-2407
Fax
732-946-4492
Last updated
December 8, 2014

Blaine Keister is a Dentist, General Practice based in Holmdel, NJ. Blaine Keister practices in Holmdel, NJ and has the professional credentials of DMD. The NPI Number for Blaine Keister is 1083876031 and holds a License No. DI02586000 (NJ). The current practice location address for Blaine Keister is 146 Route 34, Holmdel, NJ 07733-2407 and can be reached out via phone at 732-946-4244 and via fax at 732-946-4492.

Provider Profile Details

NPI Number
1083876031
Provider Name
Blaine Keister
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
146 Route 34, Holmdel, NJ 07733-2407
Phone Number
732-946-4244
Fax Number
732-946-4492
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 1, 2008
Last Update Date
December 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
146 Route 34
Holmdel, NJ 07733-2407
Zip
07733-2407
Phone Number
732-946-4244
Fax Number
732-946-4492
Holmdel, NJ 07733Get directions →

Provider Business Mailing Address Details

Address
146 Route 34
Holmdel, NJ 07733-2407
City
Holmdel
State
NJ
Zip
07733-2407
Phone Number
732-946-4244
Fax Number
732-946-4492

License Information

License Number
DI02586000
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Blaine Keister, DMD?

The NPI number of Blaine Keister, DMD is 1083876031. It was assigned on July 1, 2008 and is currently active in the NPPES registry.

What is the specialty of Blaine Keister, DMD?

Blaine Keister, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI02586000.

Where does Blaine Keister, DMD practice?

The practice location is 146 Route 34, Holmdel, NJ 07733-2407. The office can be reached at 732-946-4244 (phone) or 732-946-4492 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083876031 directly on the NPPES registry website.

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