Douglas M. Keller, DMD

Dentist · Manteno, IL

Individual Active NPI

NPI number 1316432909

Practice location

312 W Division St
Manteno, IL 60950-1010
Phone
(815) 468-6800

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NPI record

NPI
1316432909
Entity type
Individual (Type 1)
Enumeration date
June 26, 2018
Last updated
June 26, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.031689 IL

About Dr. Keller

Douglas M. Keller, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 312 W Division St, Manteno, IL 60950-1010. The NPI number 1316432909 was assigned on June 26, 2018 and the record was last updated on June 26, 2018.

Dr. Keller lists a license in the registry: #019.031689 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Douglas M. Keller, DMD?

The NPI number is 1316432909.

What is the phone number of Dr. Keller?

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

Where is Dr. Keller located?

312 W Division St, Manteno, IL 60950-1010.

What is the taxonomy code for Dr. Keller?

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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