John B. Keller, D.D.S.
General Practice Dentistry · Bloomington, IL
Practice location
1701 Clearwater AveSuite B
Bloomington, IL 61704-6433
- Phone
- (309) 662-7949
- Fax
- (309) 664-6177
NPI record
- NPI
- 1912281965
- Entity type
- Individual (Type 1)
- Enumeration date
- October 7, 2011
- Last updated
- October 7, 2011
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
019022829 | IL |
About Dr. Keller
John B. Keller, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1701 Clearwater Ave, Suite B, Bloomington, IL 61704-6433. The NPI number 1912281965 was assigned on October 7, 2011 and the record was last updated on October 7, 2011.
Dr. Keller lists a license in the registry: #019022829 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of John B. Keller, D.D.S.?
The NPI number is 1912281965.
What is the phone number of Dr. Keller?
The phone number listed for the practice location is (309) 662-7949.
Where is Dr. Keller located?
1701 Clearwater Ave, Suite B, Bloomington, IL 61704-6433.
What is the taxonomy code for Dr. Keller?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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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