Keller Professional Group, Dmd, Pc is a
Dentist based in Saint Louis, Missouri. Keller Professional Group, Dmd, Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3929 Bayless Ave, Saint Louis, Missouri. It can be reached at their office (for appointments etc.) via phone at
(314) 638-4190.
NPI number for Keller Professional Group, Dmd, Pc is 1306935986 and their current mailing address is 3929 Bayless Ave, Saint Louis, Missouri. Keller Professional Group, Dmd, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1306935986.
Healthcare Provider's Profile
| Full Name | Keller Professional Group, Dmd, Pc |
|---|
| Type | Facility |
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| Speciality | Dentist |
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| Location | 3929 Bayless Ave, Saint Louis, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306935986
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Keller Professional Group, Dmd, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306935986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keller Professional Group, Dmd, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keller Professional Group, Dmd, Pc
3929 Bayless Ave,
Saint Louis, MO 63125-1437
Ph: (314) 638-4190 | Keller Professional Group, Dmd, Pc
3929 Bayless Ave,
Saint Louis, MO 63125-1437
Ph: (314) 638-4190 |
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