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Contact Information

MADISON D KELLER, DMD, MS
12360 INTERSTATE 45 NORTH
WILLIS, TX77378
 Phone: 281-853-8283
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MADISON D KELLER · (Female)

NPI # 1093445819
Status Active
Credentials DMD, MS
Entity Individual
Enumeration date 06/14/2022
Last updated 06/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 38486
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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