Individual
DR. JEFF G. KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDD,MS,PA
Contact information
Practice address
5203 79TH ST, SUITE A, LUBBOCK, TX 79424-2850
(806) 798-1043
(806) 798-7691
Mailing address
5203 79TH ST, SUITE A, LUBBOCK, TX 79424-2850
(806) 798-1043
(806) 798-7691
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089500-01
—
TX
Enumeration date
03/07/2006
Last updated
10/07/2008
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