Provider Demographics
NPI:1679600910
Name:STEVEN H. KELLER, D.D.S. & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:STEVEN H. KELLER, D.D.S. & ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-529-7459
Mailing Address - Street 1:11409 HOLLOW TREE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3600
Mailing Address - Country:US
Mailing Address - Phone:301-529-7459
Mailing Address - Fax:301-881-6723
Practice Address - Street 1:1734 ELTON RD STE 231
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-5722
Practice Address - Country:US
Practice Address - Phone:301-439-7878
Practice Address - Fax:301-434-3448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6416122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty