# DR. GREGORY F KEWITT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154379873
- **Gender:** Man
- **Credential:** MD, DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS029616L | PA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | MD073230L | PA | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | MD073230L | PA | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 04/10/2024