John Jay Keller
DDS | Oral and Maxillofacial Surgeon | 48+ years Exp
3637 Wilgus Avenue, Sheboygan
Wisconsin, 53081
920-458-8213 920-459-9797
Maps & DirectionsJohn Jay Keller is a Sheboygan, Wisconsin based Oral and Maxillofacial Surgeon with
48 years of experience in
Oral and Maxillofacial Surgery. He completed his graduation from
Other in 1977. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of John Jay Keller is
5001980 for Oral and Maxillofacial Surgery in Wisconsin. His current practice location is
3637 Wilgus Avenue, Sheboygan. Patients can reach him at
920-458-8213.
John Jay Keller deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
John Jay Keller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | John Jay Keller |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Experience: | 48+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1977 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 3637 Wilgus Avenue, Sheboygan, Wisconsin, 53081 |
| Phone: | 920-458-8213 |
| Fax: | 920-459-9797 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5395708903 |
| Enrollment ID: | I20090812000712 |
| NPI Number: | 1952350738 |
| NPI Enumeration Date: | 09 May, 2006 |
| NPI Last Update On: | 06 Jan, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Jay Keller are as mentioned below.
| License Number | Specialization | State | Status | |
| 5001980 | Oral and Maxillofacial Surgery | Wisconsin | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which John Jay Keller is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Sheboygan Oral And Maxillofacial Assoc Ltd (0244293843) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with John Jay Keller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33371300 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3637 Wilgus Avenue, Sheboygan, Wisconsin |
| Zip: | 53081 |
| Phone Number: | 920-458-8213 |
| Fax Number: | 920-459-9797 |
Patients can reach John Jay Keller at
3637 Wilgus Avenue, Sheboygan, Wisconsin or can
call to book an appointment on 920-458-8213.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.