Madison Dawn Keller, DMD, MS
Individual provider Active NPI General Practice Dentistry · Willis, TX
NPI 1093445819 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1093445819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 38486 (TX)
- Practice address
- 12360 Interstate 45 North
Willis, TX 77378 - Phone
- (281) 853-8283
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38486 | TX | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38486 | TX | Yes |
Addresses
Primary practice location
12360 Interstate 45 North
Willis, TX 77378
Mailing address
9900 Westpark Dr Ste 365
Houston, TX 77063-5377
Phone (281) 853-8283
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Mkeller@cdp.dental |
Other providers in Willis, TX
- Adrianna Elizabeth Jurado
- Meredith Jurica
- Kalliope'S Ranch Corporation
- Chani Kantis
- Michael Scott Kearney
- Vivia Paulette Kelley
- Brian J Kempton
- Kingwood Physical Therapy LTD
- Kelly Kocian
- Kroger Texas L P
All providers in Willis, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. 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.