Karl a Keller DDS PC

Dentist · Manteno, IL

Organization Active NPI

NPI number 1023178985

Practice location

312 W Division St
Manteno, IL 60950
Phone
(815) 468-6800
Fax
(815) 468-7780

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NPI record

NPI
1023178985
Entity type
Organization (Type 2)
Enumeration date
December 11, 2006
Last updated
March 23, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019017215 IL

Authorized official

Name
Dr. Karl A Keller, DDS
Title
President
Phone
(815) 468-6800

About Karl a Keller DDS PC

Karl a Keller DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 312 W Division St, Manteno, IL 60950. The NPI number 1023178985 was assigned on December 11, 2006 and the record was last updated on March 23, 2012.

Karl a Keller DDS PC lists a license in the registry: #019017215 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Karl A Keller, DDS, President.

Frequently asked questions

What is the NPI number of Karl a Keller DDS PC?

The NPI number is 1023178985.

What is the phone number of Karl a Keller DDS PC?

The phone number listed for the practice location is (815) 468-6800.

Where is Karl a Keller DDS PC located?

312 W Division St, Manteno, IL 60950.

What is the taxonomy code for Karl a Keller DDS PC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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