Beau J. Keller, D.D.S.

Dentist · Bellevue, WA

Individual Active NPI

NPI number 1588856652

Practice location

909 112TH Ave NE
Suite P-104
Bellevue, WA 98004-8580
Phone
(425) 409-9999
Fax
(888) 507-5181

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NPI record

NPI
1588856652
Entity type
Individual (Type 1)
Enumeration date
August 13, 2007
Last updated
May 6, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE00011082 WA
Dentist 122300000X D009161 AZ

About Dr. Keller

Beau J. Keller, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 909 112TH Ave NE, Suite P-104, Bellevue, WA 98004-8580. The NPI number 1588856652 was assigned on August 13, 2007 and the record was last updated on May 6, 2015.

Dr. Keller lists 2 licenses in the registry: #DE00011082 (WA) for Dentist; #D009161 (AZ) 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 Beau J. Keller, D.D.S.?

The NPI number is 1588856652.

What is the phone number of Dr. Keller?

The phone number listed for the practice location is (425) 409-9999.

Where is Dr. Keller located?

909 112TH Ave NE, Suite P-104, Bellevue, WA 98004-8580.

What is the taxonomy code for Dr. Keller?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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