DR. MATTHEW KELLER (NPI# 1134495591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134495591 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW KELLER |
| Credential | D.M.D. |
| Practice Address |
4405 N Stadium Dr Ste B Columbus GA 31909-1884 |
| Practice Telephone | 7062250444 |
| Practice Fax Number | 7069400008 |
| Mailing Telephone | 7062250444 |
| Mailing Fax Number | 7069400008 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN014428 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 1962742569 | Matthew Ryan Keller | Counselor | 75 Hwy 62/4 12, Suite J, Ash Flat, AR 72513-9629 | 2013-02-20 |
| 1215067210 | Matthew Scott Keller | Specialist/Technologist | 415 Harrisburg Ave, Lancaster, PA 17603-2827 | 2007-03-07 |
| 1356990097 | Matthew Keller | Dentist | 8951 Bonita Beach Rd Se Ste 220, Bonita Springs, FL 34135-4202 | 2019-09-05 |
| 1942760160 | Matthew H Keller | Student in an Organized Health Care Education/Training Program | 530 S Jackson St, Louisville, KY 40202-1675 | 2019-03-22 |
| 1336664614 | Matthew Ryan Keller | Social Worker | 603 Bruce St, Crookston, MN 56716-2914 | 2017-08-08 |
| 1003340480 | Matthew Allen Keller | Counselor | 161 W Victoria St, Long Beach, CA 90805 | 2017-04-12 |
| 1700328762 | Matthew Keller | Optometrist | 14175 W Indian School Rd, Suite B9, Goodyear, AZ 85395-8407 | 2016-11-08 |
| 1083044556 | Matthew Jacob Keller | Physician Assistant | 860 Rostraver Rd, Belle Vernon, PA 15012-1945 | 2013-11-20 |
| 1457536641 | Matthew Evan Keller | Counselor | 400 Ne 7th St, Gresham, OR 97030-5604 | 2008-01-07 |
| Street Address |
4405 N STADIUM DR STE B |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31909-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747403 | Abundant Heart Healthcare Solution, LLC | Adult Companion | 6361 Talokas Lane, Ste C 140-279, Columbus, GA 31909 | 2020-07-14 |
| 1477185791 | Shandis Denise Phaneuf | Licensed Practical Nurse | 6545 Gregg Dr, Columbus, GA 31909 | 2020-02-05 |
| 1164086203 | Brock Musick | Physical Therapist | 100 First Court, Columbus, GA 31909 | 2019-04-24 |
| 1407340037 | Courtney Patterson | Behavior Technician | 5900 Warm Springs Road, Suite J, Columbus, GA 31909 | 2018-06-18 |
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1528577368 | Courtney Anne Young | Nurse Practitioner | 2700 Double Churches Rd, Apt 1207, Columbus, GA 31909 | 2017-09-25 |
| 1427573542 | Megan Renee Kwon | Dietitian, Registered | 4343 Warm Springs Road Apt. 110, Columbus, GA 31909 | 2017-08-09 |
| 1942659305 | Stephanie Mcghee | Dental Hygienist | 4835 Turnberry Lane, Columbus, GA 31909 | 2016-06-07 |
| 1770932162 | Tammy Allen | Dental Assistant | 701 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| 1003265406 | Rhonda Mills | Dental Assistant | 7101 Hoff Rd Building 9240, Ft. Benning, GA 31909 | 2016-06-07 |
| Find all providers in zip 31909 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275018582 | Jarrell Pediatric Dentistry, LLC | Dentist | 1538 13th Ave Ste 100, Columbus, GA 31901-1956 | 2018-10-02 |
| 1760863872 | Caadrian Norman | Dentist | 5770 N Hamilton Rd Ste A, Columbus, OH 43230 | 2015-06-15 |
| 1871971101 | Katherine Curtis Windham | Dentist | 300 Hospital Dr Ste 3, Columbus, MS 39705-1921 | 2015-05-06 |
| 1518233550 | Karina Bogdasarova | Dentist | 2332 Hardesty Ct, Columbus, OH 43204-2841 | 2012-03-23 |
| 1245569516 | Hines Little Smiles | Dentist | 5715 N Hamilton Rd, Columbus, OH 43230-1325 | 2009-12-16 |
| 1770713869 | Daniel Bernard Claman | Dentist | 943 Manor Ln Apt F, Columbus, OH 43221-2444 | 2009-07-23 |
| 1912115056 | James Irvine Lopez | Dentist | 1834 Warm Springs Rd, Columbus, GA 31904-8029 | 2007-05-21 |
| 1750415444 | Carl David Bell | Dentist | 5485 W Carr Hill Rd, Columbus, IN 47201-4865 | 2007-03-15 |
| 1710011887 | David A Itkoff | Dentist | 4730 W Broad St, Lincoln Village Plaza, Columbus, OH 43228-1613 | 2007-03-14 |
| 1023101508 | Avneet K Sandhu | Dentist | 4655 Morse Centre Rd, Columbus, OH 43229-6601 | 2006-10-02 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.