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Dr. Jason Ryan Keckley, DMD
General Practice Dentistry in Poway, California
NPI 1609139963

Jason Ryan Keckley is a General Practice Dentistry based in Poway, CA and is specialized in General Practice. Jason Ryan Keckley practices in Poway, CA and has the professional credentials of DMD. The NPI Number for Jason Ryan Keckley is 1609139963 and holds a License No. 61408 (California).

The current practice location address for Jason Ryan Keckley is 15725 Pomerado Rd Ste 110, Poway, CA and can be reached out via phone at 858-485-6900 and via fax at 858-485-5875.

Location: 15725 Pomerado Rd Ste 110, Poway, CA, 92064-2058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609139963
Provider Name
Jason Ryan Keckley
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
15725 Pomerado Rd Ste 110, Poway, CA, 92064-2058
Phone Number
858-485-6900
Fax Number
858-485-5875
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15725 Pomerado Rd Ste 110
City
Poway
State
California
Zip
92064-2058
Phone Number
858-485-6900
Fax Number
858-485-5875
person
Provider Business Mailing Address Details
Address
15725 Pomerado Rd Ste 110
City
Poway
State
California
Zip
92064-2058
Phone Number
858-485-6900
Fax Number
858-485-5875
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
61408 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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