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

Dr. Jason Ryan Keckley, DMD

Individual provider General Practice Dentistry · NPI 1609139963

Dr. Jason Ryan Keckley, DMD is a General Practice Dentistry in Poway, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

15725 Pomerado Rd Ste 110
Poway, CA 92064-2058
Phone: (858) 485-6900
Fax: (858) 485-5875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 61408 (CA)

Record details

NPI number1609139963
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012

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