Mark Edward Keller in Anchorage - Pediatric Dentistry

Mark Edward Keller - NPI 1588858260

Mark Edward Keller is a Pediatric Dentistry in Anchorage, Alaska. Mark Edward Keller practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mark Edward Keller is 1588858260. The last update date is 2008-07-17.

Mark Edward Keller's current location address is 1310 E Dimond Blvd Ste 3, Anchorage, Alaska. You can contact this provider via phone number 9073367337. The mailing address for Mark Edward Keller is 1310 E Dimond Blvd Ste 3, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Edward Keller
Address 1310 E Dimond Blvd Ste 3, Anchorage, Alaska
Phone Number 9073367337
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1588858260
Provider Enumeration Date 2007-09-05
Last Updated Date 2008-07-17

Provider Mailing Address Detail

Address 1310 E Dimond Blvd Ste 3
City Anchorage
State Alaska (AK)
Post Code 995152031
Phone Number 9073367337
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D11690
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Mark Edward Keller

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

The Mark Edward Keller has been issued the NPI (National Provider Identifier) 1588858260 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Mark Edward Keller?

The Mark Edward Keller is situated at 1310 E Dimond Blvd Ste 3, in the city of Anchorage, state of AK, with the zip code 995152031.

What is Mark Edward Keller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Edward Keller is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

On what date did Mark Edward Keller receive its 1588858260 assignment from the Centers for Medicare & Medicaid Services?

The Mark Edward Keller was assigned its 1588858260 on 2007-09-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mark Edward Keller's information last updated?

The Mark Edward Keller's information was last updated on 2008-07-17.

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