Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Corwin Jay Keltner, DDS, PPA

Individual provider General Practice Dentistry · NPI 1083604599

Dr. Corwin Jay Keltner, DDS, PPA is a General Practice Dentistry in Ogden, Utah. Works from 2 locations. Licensed in Kansas and Utah.

Licensed in
KS, UT
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5974 Fashion Point Dr Ste 210
Ogden, UT 84403-4842
Phone: (801) 475-6121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1445 N 400 E Ste 34, Logan, UT 84341-7564 — (435) 752-1699

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 323334-9922 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 60068 (KS)

Record details

NPI number1083604599
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , PPA
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESDecember 11, 2022
Certification dateDecember 11, 2022
Mailing address33 Canterbury Ln, Logan, UT 84321-6714

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