Dr Jackson, Jr Arley Keller, DDS is a
Dentist - General Practice based in Alma, Wisconsin. Dr Jackson, Jr Arley Keller is licensed to practice in Wisconsin (license number 2624) and his current practice location is
1004 S. Second St., Alma, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 685-4942.
NPI number for Dr Jackson, Jr Arley Keller is 1760522619 and his current mailing address is Po Box 278, Alma, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760522619.
Healthcare Provider's Profile
Full Name | Dr Jackson, Jr Arley Keller |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 1004 S. Second St., Alma, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760522619
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jackson, Jr Arley Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760522619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2624 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jackson, Jr Arley Keller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jackson, Jr Arley Keller, DDS Po Box 278, Alma, WI 54610-0278 Ph: (608) 685-4942 | Dr Jackson, Jr Arley Keller, DDS 1004 S. Second St., Alma, WI 54610-0278 Ph: (608) 685-4942 |
Reviews and Comments