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

Scott Keithley, DDS

Individual provider Dentist · NPI 1144318692

Scott Keithley, DDS is a Dentist in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

630 S Fairmont Ave Ste C
Lodi, CA 95240-3803
Phone: (209) 334-2211
Fax: (209) 334-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 31486 (CA)

Record details

NPI number1144318692
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address630 S Fairmont Ave Ste C, Lodi, CA 95240-3803

Other providers in Lodi