Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KETTI R BOLLER, D.D.S, M.S
Active Sole ProprietorDR. KETTI R BOLLER, D.D.S, M.S is a Orthodontics healthcare provider located in CROWN POINT, Indiana. NPI 1255682662 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · CROWN POINT, IN
Registration Details
- NPI Number
- 1255682662
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 25, 2012 (13.848703064873 yrs)
- Last Updated
- Apr 17, 2025
- License
-
12014618A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 N MAIN ST STE 101CROWN POINT, IN, 463074077Browse IN providers · Browse ZIP 46307
- Phone
- 2196632000
- Fax
- 2193227667
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in CROWN POINT, IN
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY MYERS PUNTILLO | D.D.S., M.S.D. | 1558486472 |
| MICHAEL D GOODWIN | DDS, MS | 1477734598 |
| CHRISTOPHER CRANE | — | 1306098793 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.