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John Keller, D.D.S
NPI 1912281965 · on the registry since 2011
Practice
- Address
- 1701 Clearwater Ave
Suite B
Bloomington, IL 61704 - Phone
- (309) 662-7949
- Fax
- (309) 664-6177
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-07
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