DR. THOMAS JOHN KELLER (NPI# 1700863487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700863487 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JOHN KELLER |
| Credential | DDS |
| Practice Address |
2417 Mcguire Blvd Mc Guire Afb NJ 08641-5118 |
| Mailing Address |
200 Forest Ave Medford NJ 08055-3451 |
| Practice Telephone | 6097543786 |
| Mailing Telephone | 8567974395 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 37402 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265718316 | Thomas Vernon Keller | Chiropractor | 2101 South 10th Street, Los Banos, CA 93635-5006 | 2011-11-02 |
| 1912914375 | Thomas Allen Keller | Psychologist | 7863 La Mesa Blvd, Suite 102, La Mesa, CA 91941-3657 | 2006-08-01 |
| 1598268237 | Thomas Keller | Counselor | 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 | 2018-03-08 |
| 1154844322 | Thomas Franklin Keller | Dentist | 8340 Colerain Ave, Cincinnati, OH 45239-3916 | 2017-07-19 |
| 1356761944 | Thomas Keller | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Lane 154, Stanford, CA 94305-5133 | 2014-04-22 |
| 1376817510 | Thomas S Keller | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2012-03-06 |
| 1225297997 | Thomas C Keller | Orthopaedic Surgery | 30 Aulike St, Suite 201, Kailua, HI 96734-2739 | 2008-06-06 |
| 1194832279 | Thomas Clark Keller Sr. | Dentist | 21 West Rd, 104, Towson, MD 21204-2325 | 2006-08-24 |
| 1972523918 | Thomas A Keller Jr. | Internal Medicine | 601 John St, Suite 100, Kalamazoo, MI 49007-5341 | 2006-07-20 |
| 1992720569 | Thomas A Keller | Radiology | 2300 Western Avenue, Manitowoc, WI 54221-1450 | 2006-07-13 |
| Street Address |
2417 MCGUIRE BLVD |
| City | MC GUIRE AFB |
| State | NJ |
| Zip Code | 08641-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748426 | David James Coleman | Dentist | 2417 Mcguire Blvd, Mc Guire Afb, NJ 08641-5116 | 2015-04-30 |
| 1902046915 | Cynthia Rose Noll | Dentist | 2417 Mcguire Blvd, Mc Guire Afb, NJ 08641-5116 | 2009-03-03 |
| 1023003845 | Maral Flora Regas | Dentist | 2417 Mcguire Blvd, Mc Guire Afb, NJ 08641-5118 | 2005-09-19 |
| 1801881099 | Robert D Lefkowitz | Dentist | 2417 Mcguire Blvd, 305th Dental Squadron, Mc Guire Afb, NJ 08641-5118 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497108856 | Prince Philip | Internal Medicine | Jbmdl, 3458 Neely Road, Apo, AA 08641 | 2016-07-20 |
| 1932517851 | Brittany Russell | Counselor | 3458 Neeley Rd, Jb Mcguire-dix-lakehurst, Wrightstown, NJ 08641 | 2014-07-23 |
| 1306263108 | Jamal Hogan Sr. | Military Health Care Provider | 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 | 2014-03-19 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1780835686 | Jeffrey Matthew Butch | Nurse Practitioner | 87th Medical Group, 3458 Neely Road, Jbmdl, NJ 08641 | 2008-10-09 |
| 1376736041 | Jennifer Bench | Dental Hygienist | 305th Dental Squadron, Bldg. 2417 Mcguire Blvd., Mcguire Afb, NJ 08641 | 2007-08-24 |
| 1447383765 | Nikolay Sky | Dentist | Mcguire Air Force Base, New Hanover, NJ 08641 | 2007-03-14 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1336234285 | Barbara D Broadt | Dietitian, Registered | 305 Medical Group 3458 Neely Road, Mcguire Afb, NJ 08641 | 2006-10-04 |
| 1649378043 | Judith Anne Frankel | Psychologist | 3458 Neely Rd., 305th Medical Group/sgomh, Mcguire Afb, NJ 08641 | 2006-09-20 |
| Find all providers in zip 08641 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748426 | David James Coleman | Dentist | 2417 Mcguire Blvd, Mc Guire Afb, NJ 08641-5116 | 2015-04-30 |
| 1023003845 | Maral Flora Regas | Dentist | 2417 Mcguire Blvd, Mc Guire Afb, NJ 08641-5118 | 2005-09-19 |
| 1801881099 | Robert D Lefkowitz | Dentist | 2417 Mcguire Blvd, 305th Dental Squadron, Mc Guire Afb, NJ 08641-5118 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588066 | Makram Ksouma | Dentist | 1626 Rte 130, North Brunswick, NJ 08902-3000 | 2020-11-03 |
| 1841890092 | Refka A Salib | Dentist | 730 Newark Ave Apt 11i, Jersey City, NJ 07306-2816 | 2020-10-27 |
| 1336747385 | Dennis Chung | Dentist | 464 Hillside Ave Apt B, Palisades Park, NJ 07650-1345 | 2020-10-13 |
| 1609483775 | Christopher Sonn Dds PC | Dentist | 466 Old Hook Rd Ste 24b, Emerson, NJ 07630-1368 | 2020-09-23 |
| 1316552409 | Zubia Iftikhar | Dentist | 25 Short Hills Cir # 1a, Millburn, NJ 07041-1224 | 2020-09-15 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1174137715 | Bradley Curtis Entrup | Dentist | 176 Kinderkamack Rd, Park Ridge, NJ 07656-1384 | 2020-09-01 |
| 1528672375 | John Anthony Vitello | Dentist | 513 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4368 | 2020-08-31 |
| 1699388611 | Janisley Garcia Martinez | Dentist | 6400 Jefferson St Apt 302, West New York, NJ 07093-5353 | 2020-08-28 |
| 1124631478 | Ismile Dental Care of Bloomfield | Dentist | 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | MC GUIRE AFB |
| Zip Code | 08641 |
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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.