Jonathan Andrew Keller in Maricopa - Dentist

Jonathan Andrew Keller - NPI 1669564613

Jonathan Andrew Keller is a Dentist in Maricopa, Arizona. Jonathan Andrew Keller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jonathan Andrew Keller is 1669564613. The last update date is 2007-07-08.

Jonathan Andrew Keller's current location address is 21300 N. John Wayne Parkway, Maricopa, Arizona. You can contact this provider via phone number 5205688470 and fax number 5205689510. The mailing address for Jonathan Andrew Keller is 21300 N. John Wayne Parkway, Maricopa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Andrew Keller
Address 21300 N. John Wayne Parkway, Maricopa, Arizona
Phone Number 5205688470
Fax Number 5205689510
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1669564613
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21300 N. John Wayne Parkway
City Maricopa
State Arizona (AZ)
Post Code 85239
Phone Number 5205688470
Fax Number 5205689510

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D6071
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Jonathan Andrew Keller

What is the unique 10-digit identifier code assigned to Jonathan Andrew Keller by the Centers for Medicare & Medicaid Services?

The Jonathan Andrew Keller has been issued the NPI (National Provider Identifier) 1669564613 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jonathan Andrew Keller's facilities are situated?

The facilities of Jonathan Andrew Keller are physically located at the following address: 21300 N. John Wayne Parkway, Maricopa, AZ, 85239.

What is Jonathan Andrew Keller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jonathan Andrew Keller is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Jonathan Andrew Keller receive its 1669564613 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Andrew Keller was assigned its 1669564613 by the Centers for Medicare & Medicaid Services on 2006-09-28.

As of what date was the information regarding Jonathan Andrew Keller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jonathan Andrew Keller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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