| Jay Keltner DDS, P.C. | |
|
375 E Lagoon St Roosevelt UT 84066-3017 | |
| (435) 722-2293 | |
| (435) 722-3379 |
| Full Name | Jay Keltner DDS, P.C. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 375 E Lagoon St, Roosevelt, Utah |
| Authorized Official Name and Position | Corwin Jay Keltner (DDS/ OWNER) |
| Authorized Official Contact | 4357222293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Keltner DDS, P.C. 375 E Lagoon St Roosevelt UT 84066-3017 Ph: (435) 722-2293 | Jay Keltner DDS, P.C. 375 E Lagoon St Roosevelt UT 84066-3017 Ph: (435) 722-2293 |
| NPI Number | 1215831433 |
|---|---|
| Provider Enumeration Date | 10/03/2026 |
| Last Update Date | 10/03/2026 |
| Certification Date | 10/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215831433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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