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Sheboygan Oral and Maxillofacial Assoc Ltd

NPI 1306894134ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Sheboygan, WI

Dentist, Oral and Maxillofacial Surgery in Sheboygan, Wisconsin, registered in NPPES in May 2006. The authorized official on file is John Jay Keller, DDS, President.

Overview

NPI1306894134
StatusActive
Entity typeOrganization
NPI issuedMay 4, 2006
Last updated in NPPESJan 21, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Oral and Maxillofacial Surgery Primary1223S0112X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, Oral and Maxillofacial Surgery providers in Sheboygan

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