| Dr Corwin Jay Keltner, DDS, PPA | |
|
5974 Fashion Point Dr Ste 210, Ogden, UT 84403-4842 | |
| (801) 475-6121 | |
| Not Available |
| Full Name | Dr Corwin Jay Keltner |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 5974 Fashion Point Dr Ste 210, Ogden, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083604599 | NPI | - | NPPES |
| 116645 | Other | KS | BLUE CROSS BLUE SHIELD ID |
| 100392360B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60068 (Kansas) | Secondary |
| 122300000X | Dentist | 323334-9922 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Corwin Jay Keltner, DDS, PPA 33 Canterbury Ln, Logan, UT 84321-6714 Ph: (435) 773-2529 | Dr Corwin Jay Keltner, DDS, PPA 5974 Fashion Point Dr Ste 210, Ogden, UT 84403-4842 Ph: (801) 475-6121 |
Dr. Bart Wilson Wolthuis, DDS Dentist Medicare: Medicare Enrolled Practice Location: 512 12th Street, Ogden, UT 84404 Phone: 801-399-5831 | |
Dr. Douglas Riley Bert Marberger, D,D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 166 E 4600 S, Ogden, UT 84405 Phone: 801-392-4940 | |
Brett Anderton, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1220 33rd St, Suite A, Ogden, UT 84403 Phone: 801-621-1835 Fax: 801-621-1848 | |
Dr. Rex J. Peterson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5640 Wasatch Dr Ste C, Ogden, UT 84403 Phone: 801-479-9443 | |
Dr. Daniel S. Burdett, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5331 Adams Ave Pkwy, Suite C, Ogden, UT 84405 Phone: 801-475-0680 Fax: 801-475-0685 | |
Dr. Matthew R. Wolpert, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3860 Jackson Ave Ste 6, Ogden, UT 84403 Phone: 801-627-0420 |