Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Michael Keesler, DDS, MSD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033563606

Jack Michael Keesler, DDS, MSD is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
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

1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
Phone: (414) 288-5485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1571 Worth Ave, Neenah, WI 54956-5042 — (920) 267-0833

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 1001385-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033563606
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorNo
NPI enumeratedApril 20, 2016
Last updated in NPPESSeptember 6, 2019
Mailing address1571 Worth Ave, Neenah, WI 54956-5042

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