John David Keller in Roscoe - General Practice
John David Keller - NPI 1760562334
John David Keller is a General Practice in Roscoe, Illinois. John David Keller practices all healthcare services and medical treatments related to General Practice. The NPI Number for John David Keller is 1760562334. The last update date is 2007-07-08.
John David Keller's current location address is 4920 Hononegah Rd, Roscoe, Illinois. You can contact this provider via phone number 8156233926 and fax number 8156233930. The mailing address for John David Keller is 4920 Hononegah Rd, Roscoe, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Keller |
|---|---|
| Address | 4920 Hononegah Rd, Roscoe, Illinois |
| Phone Number | 8156233926 |
| Fax Number | 8156233930 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1760562334 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4920 Hononegah Rd |
|---|---|
| City | Roscoe |
| State | Illinois (IL) |
| Post Code | 610737778 |
| Phone Number | 8156233926 |
| Fax Number | 8156233930 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Post Comment/ Review Below
What is the unique identifier code issued to John David Keller by the Centers for Medicare & Medicaid Services (CMS)?
The John David Keller has been assigned the NPI (National Provider Identifier) 1760562334. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where John David Keller is physically located?
The John David Keller is physically situated at the following address: 4920 Hononegah Rd, Roscoe, IL, 610737778.
What is John David Keller's specialized field of practice, and what is the corresponding taxonomy classification code?
The John David Keller's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760562334 to John David Keller?
The John David Keller received its 1760562334 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information pertaining to John David Keller most recently updated or revised?
The details related to John David Keller, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA