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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEITH A. BOENNING, D.D.S., LLC

Active Sole Proprietor

DR. KEITH A. BOENNING, D.D.S., LLC is a Pediatric Dentistry healthcare provider located in TOWSON, Maryland. NPI 1376678482 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · TOWSON, MD

Registration Details

NPI Number
1376678482
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2007 (19.439569712606 yrs)
Last Updated
Jul 1, 2008
License
8257 (MD)
Sole Proprietor
Yes

Practice Information

Address
1104 KENILWORTH DR
SUITE 104
TOWSON, MD, 212042101
Browse MD providers · Browse ZIP 21204
Phone
4108281717
Fax
4108210912
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in TOWSON, MD

Name Credential NPI
DR. ALBERT LOUIS OUSBORNE JR. D.D.S. 1932216108
DR. TAREQ KAMAL HADDAD DDS 1366688392
WILLIAM MAXWELL WAHLE D.D.S., MS 1083068027
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.