DR. JACKSON, JR. ARLEY KELLER (NPI# 1760522619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760522619 |
| Entity Type | Individual |
| Full Name | DR. JACKSON, JR. ARLEY KELLER |
| Credential | D.D.S. |
| Practice Address |
1004 S. Second St. Alma WI 54610-0278 |
| Mailing Address |
Po Box 278 Alma WI 54610-0278 |
| Practice Telephone | 6086854942 |
| Mailing Telephone | 6086854942 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2624 | WI | Dental Providers |
| Street Address |
1004 S. SECOND ST. |
| City | ALMA |
| State | WI |
| Zip Code | 54610-0278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356727192 | Aaron Michael Johnson | Marriage & Family Therapist | 317 S 2nd St, Alma, WI 54610-7700 | 2015-08-04 |
| 1982048773 | Karen Quinn | Social Worker | 317 S 2nd St, Alma, WI 54610-7700 | 2013-04-23 |
| 1740454610 | Catalyst for Change Consultants | Community/Behavioral Health | 317 S 2nd St, Alma, WI 54610-7700 | 2008-04-22 |
| 1013422641 | Virginia F Pawlak | Massage Therapist | 115 S Main St, Alma, WI 54610-7712 | 2017-12-05 |
| 1982180048 | Saint Elizabeths Hospital of Wabasha Inc | Clinic/Center | 204 S Main St, Alma, WI 54610-7722 | 2018-07-12 |
| 1376062802 | Saint Elizabeths Hospital of Wabasha Inc | Clinic/Center | 204 S Main St, Alma, WI 54610-7722 | 2017-09-15 |
| 1225117104 | Kassel City Drug LLC | Pharmacy | 200 S Main St, Alma, WI 54610-7722 | 2006-11-03 |
| 1447482930 | School District of Alma | Local Education Agency (LEA) | S1618 State Road 35, Alma, WI 54610-8301 | 2009-08-17 |
| 1255385811 | Western Buffalo County Ambulance Service | Ambulance | 310 S Main St, Alma, WI 54610-9705 | 2006-05-19 |
| 1770969883 | Western Region Recovery & Wellness Consortia | Community/Behavioral Health | 407 S 2nd St, Alma, WI 54610-9715 | 2015-07-31 |
| Find all providers in zip 54610 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770795254 | Paul Greg Gambill | Dentist | 641 Hwy 71 North, Alma, AR 72921 | 2007-05-04 |
| 1780701813 | R K Girlinghouse Dds Pa | Dentist | 209 Highway 71 N, Alma, AR 72921-3204 | 2007-03-23 |
| 1043392343 | Jesse M Neal | Dentist | 612 South St, Alma, NE 68920-2175 | 2006-10-19 |
| 1306867767 | Jeremy Stephen Simon | Dentist | 191 Hwy 64 East, Alma, AR 72921 | 2006-07-21 |
| 1538185913 | Ralph H Proenza | Dentist | 208 S Dixon St, Alma, GA 31510-2704 | 2006-07-15 |
| 1083654388 | Keith Gerard Sikora | Dentist | 1317 Pine Ave, Alma, MI 48801-1242 | 2006-06-07 |
| 1750874178 | Ryan Max Hills | Dentist | 1317 Pine Ave, Alma, MI 48801-1242 | 2018-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1205451598 | Tysen Wood | Dentist | 605 S 24th Ave Ste 10, Wausau, WI 54401-1705 | 2020-06-11 |
| 1841814035 | Vicki Shah | Dentist | 220 E Commerce Ct, Elkhorn, WI 53121-4371 | 2020-06-03 |
| 1790308666 | Michelle Zellmer | Dentist | 333 W Brown Deer Rd Ste A, Fox Point, WI 53217-2370 | 2020-05-26 |
| 1568083772 | Kolver Matos | Dentist | N112w16286 Mequon Rd, Germantown, WI 53022-3306 | 2020-04-28 |
| 1205466737 | Leyes Robers Dental LLC | Dentist | 3216 W County Rd Kk, Appleton, WI 54915 | 2020-01-23 |
| 1972133536 | Neha Solanki | Dentist | 1212 Horton St Ste 200, La Crosse, WI 54601-6289 | 2020-01-23 |
| 1023655131 | Pak Dental LLC | Dentist | 8241 S Howell Ave Ste 100, Oak Creek, WI 53154-8346 | 2019-12-09 |
| 1700428216 | Binninger Dentistry, LLC | Dentist | 12720 W North Ave Bldg B, Brookfield, WI 53005-4637 | 2019-10-16 |
| 1720629017 | Quirt Family Dentistry, S.c. | Dentist | W178n9379 Water Tower Pl, Menomonee Falls, WI 53051-8034 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACKSON, JR. ARLEY KELLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.