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

JOHN DAVID KELLER IV, DDS

Active Sole Proprietor

JOHN DAVID KELLER IV, DDS is a General Dentistry healthcare provider located in ROSCOE, Illinois. NPI 1760562334 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ROSCOE, IL

Registration Details

NPI Number
1760562334
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2006 (19.842062912938 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
4920 HONONEGAH RD
ROSCOE, IL, 610737778
Browse IL providers · Browse ZIP 61073
Phone
8156233926
Fax
8156233930
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in ROSCOE, IL

Name Credential NPI
DR. MARK S BRADEL DDS 1235240730
DR. ROBERT DALE SHULTZ D.D.S. 1588753016
DR. JANICE MARIAN ETHINGTON DDS 1780885905
DR. EMIL A MOMMERS D.D.S 1659552834
DR. VAUGHN DE GUZMAN D.M.D. 1104008515
DR. MARTHA M MULDOWNEY DDS 1689856437
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.