Karl a Keller DDS PC
Organization Active NPI Dentist · Manteno, IL
NPI 1023178985 · NPPES record last updated Mar 23, 2012
Key facts
- NPI
- 1023178985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 019017215 (IL)
- Legal business name
- KARL A KELLER DDS PC
- Practice address
- 312 W Division St
Manteno, IL 60950 - Phone
- (815) 468-6800
- Fax
- (815) 468-7780
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Karl A Keller, DDS
- Title
- President
- Phone
- (815) 468-6800
Practitioners 2
-
Douglas M Keller, DMD
-
Karl A Keller, D.D.S.
National Provider Directory
Locations
312 W Division St
Manteno, IL 60950
Phone (815) 468-6800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 019017215 | IL | Yes |
Addresses
Primary practice location
312 W Division St
Manteno, IL 60950
Mailing address
312 W Division St
Manteno, IL 60950
Phone (815) 468-6800
Other providers in Manteno, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.