Search › Illinois › 122300000X
Douglas Keller, DMD
NPI 1316432909 · on the registry since 2018
Practice
- Address
- 312 W Division St
Manteno, IL 60950 - Phone
- (815) 468-6800
- Organisation at this address
- Karl A Keller Dds Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois