Randall S. Keller in Beverly Hills - Dentist
Randall S. Keller - NPI 1205058245
Randall S. Keller is a Dentist in Beverly Hills, California. Randall S. Keller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randall S. Keller is 1205058245. The last update date is 2007-07-08.
Randall S. Keller's current location address is 250 N Robertson Blvd, Beverly Hills, California. You can contact this provider via phone number 3102754491 and fax number 3102754738. The mailing address for Randall S. Keller is 250 N Robertson Blvd, Beverly Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall S. Keller |
|---|---|
| Address | 250 N Robertson Blvd, Beverly Hills, California |
| Phone Number | 3102754491 |
| Fax Number | 3102754738 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1205058245 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 250 N Robertson Blvd |
|---|---|
| City | Beverly Hills |
| State | California (CA) |
| Post Code | 902111788 |
| Phone Number | 3102754491 |
| Fax Number | 3102754738 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 38698 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38698 | CA | DENTAL LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall S. Keller by the Centers for Medicare & Medicaid Services?
The Randall S. Keller has been issued the NPI (National Provider Identifier) 1205058245, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Randall S. Keller?
The Randall S. Keller is physically situated at 250 N Robertson Blvd, in the city of Beverly Hills, state of CA, with the postal code 902111788.
What is Randall S. Keller's area of expertise and its corresponding taxonomy classification?
The Randall S. Keller's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1205058245 to Randall S. Keller?
The Centers for Medicare & Medicaid Services assigned the 1205058245 to Randall S. Keller on 2007-05-02.
As of what date were the details related to Randall S. Keller most recently updated or revised?
The information pertaining to Randall S. Keller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.