Thomas John Keller in Medford - Dentist

Thomas John Keller - NPI 1700863487

Thomas John Keller is a Dentist in Medford, New Jersey. Thomas John Keller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas John Keller is 1700863487. The last update date is 2007-07-08.

Thomas John Keller's current location address is 200 Forest Ave, Medford, New Jersey. You can contact this provider via phone number 8567974395. The mailing address for Thomas John Keller is 200 Forest Ave, Medford, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas John Keller
Address 200 Forest Ave, Medford, New Jersey
Phone Number 8567974395
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1700863487
Provider Enumeration Date 2005-12-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 200 Forest Ave
City Medford
State New Jersey (NJ)
Post Code 80553451
Phone Number 8567974395
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 37402
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 Thomas John Keller

What is the unique 10-digit identification code issued to Thomas John Keller by the Centers for Medicare & Medicaid Services?

The Thomas John Keller has been assigned the NPI (National Provider Identifier) 1700863487 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Thomas John Keller?

The Thomas John Keller is physically situated at 200 Forest Ave, in the city of Medford, state of NJ, with the postal code 80553451.

What is the Thomas John Keller's specialty and taxonomy code?

The Thomas John Keller's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Thomas John Keller receive the assignment of its 1700863487 from the Centers for Medicare & Medicaid Services?

The Thomas John Keller was issued its 1700863487 by the Centers for Medicare & Medicaid Services on 2005-12-23.

When was the Thomas John Keller's information last updated?

The Thomas John Keller's information was last updated on 2007-07-08.

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