Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912281965 Individual Practitioner Male Practitioner

Dr. John B Keller , DDS

Dentist - General Practice • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Keller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, IL. Practice services are available at 1701 CLEARWATER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 Clearwater Ave
Suite B

Bloomington, IL 617046433

Telephone 3096627949
Fax 3096646177

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Bloomington, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019022829

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 07, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 07, 2011

Registered at 1701 CLEARWATER AVE, SUITE B, BLOOMINGTON, IL 617046433 (Tel: 3096627949)

📍
Updated Business Mailing Address October 07, 2011

Registered at 1701 CLEARWATER AVE, SUITE B, BLOOMINGTON, IL 617046433 (Tel: 3096627949)

👤
Provider Name / Credentials Updated October 07, 2011

Recorded as JOHN KELLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2011

Dentist (License #019022829 in IL)

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Initial NPI Registration & Enumeration October 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912281965
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2011
Last Update: October 07, 2011
Sole Proprietor: No

Mailing Address

1701 Clearwater Ave, Suite B

Bloomington, IL 617046433

Phone: 3096627949

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.