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Individual
GARY DEMETRICK KEELER
Active
Individual
GARY DEMETRICK KEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.028230
OH
122300000X
Dentist
8114
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30.028230
OH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3478
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8114
TN
Other
Enumeration date
11/15/2007
Last updated
04/28/2026
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