Beau J Keller is a Dentist in Bellevue, Washington. Beau J Keller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Beau J Keller is 1588856652. The last update date is 2015-05-06.
Beau J Keller's current location address is 909 112th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 4254099999 and fax number 8885075181. The mailing address for Beau J Keller is 909 112th Ave Ne, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beau J Keller |
|---|---|
| Address | 909 112th Ave Ne, Bellevue, Washington |
| Phone Number | 4254099999 |
| Fax Number | 8885075181 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1588856652 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2015-05-06 |
Provider Mailing Address Detail
| Address | 909 112th Ave Ne |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 980048580 |
| Phone Number | 4254099999 |
| Fax Number | 8885075181 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00011082 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Beau J Keller by the Centers for Medicare & Medicaid Services (CMS)?
The Beau J Keller has been assigned the NPI (National Provider Identifier) 1588856652. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Beau J Keller is geographically located?
The Beau J Keller is physically situated at the following location: 909 112Th Ave Ne, Bellevue, WA, 980048580.
What is Beau J Keller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Beau J Keller's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588856652 to Beau J Keller?
The Centers for Medicare & Medicaid Services assigned the 1588856652 to Beau J Keller on 2007-08-13.
As of what date were the Beau J Keller's details last updated?
The information pertaining to the Beau J Keller, including its address, specialty, and other details, was most recently updated on 2015-05-06.
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