Brady S Keller, D.M.D.
Individual provider Active NPI Pediatric Dentistry · Billings, MT
NPI 1063662294 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1063662294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 2388 (MT)
- Practice address
- 1690 Rimrock Rd Ste C
Billings, MT 59102-0700 - Phone
- (406) 248-3303
- Fax
- (406) 248-3939
- NPI assigned
- Sep 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2388 | MT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bighorn Surgery Center LLC | Pediatric Dentistry | Current | Accepting new patients |
| Beartooth Pediatric Dentistry | Pediatric Dentistry | Past |
Accepting new patients |
| Trailhead Pediatric Dentistry | Pediatric Dentistry | Past |
Accepting new patients |
Locations
1601 Zimmerman Trl
Ste 1
Billings, MT 59102
Phone (406) 248-3303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2388 | MT | Yes |
Addresses
Primary practice location
1690 Rimrock Rd Ste C
Billings, MT 59102-0700
Mailing address
1601 Zimmerman TRL Ste 1
Billings, MT 59102-7654
Phone (406) 248-3303
Other providers in Billings, MT
- Deborah G. Keenum
- Keith Lee Keierleber
- Katherine E Keith
- Paul H. Kelker
- Kasey Kelleher
- Kelli Mullen LLC
- Kelli Richardsons 406 Physical Therapy LLC
- Kaitlyn Kellner
- Nicholas Kellner
- Kelly Williams PLLC
All providers in Billings, MT · Pediatric Dentistry in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2020. 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.