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Active NPI 1316432909 Individual Practitioner Male Practitioner

Dr. Douglas M Keller , DMD

Dentist • Manteno, IL

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Keller, DMD is a registered healthcare professional specializing in Dentist in Manteno, IL. Practice services are available at 312 W DIVISION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

312 W Division St

Manteno, IL 609501010

Telephone 8154686800
Associated Practice Facility / Clinic
🏢 Karl A Keller Dds Pc Facility NPI 1023178985

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Manteno, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Manteno, IL (4751 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.031689

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1972862787

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2018

Registered at 312 W DIVISION ST, MANTENO, IL 609501010 (Tel: 8154686800)

📍
Updated Business Mailing Address June 26, 2018

Registered at 312 W DIVISION ST, MANTENO, IL 609501010 (Tel: 8154686800)

👤
Provider Name / Credentials Updated June 26, 2018

Recorded as DOUGLAS KELLER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2018

Dentist (License #019.031689 in IL)

🟢
Initial NPI Registration & Enumeration June 26, 2018

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: 1316432909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2018
Last Update: June 26, 2018
Sole Proprietor: No

Mailing Address

312 W Division St

Manteno, IL 609501010

Phone: 8154686800

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.