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Active NPI 1902108897 Individual Practitioner Male Practitioner

Dr. Keith Felix Theodore , DDS

Dentist - General Practice • Upper Marlboro, MD

Professional Overview & Biography Verified Profile Summary

Dr. Keith Theodore, DDS is a registered healthcare professional specializing in Dentist - General Practice in Upper Marlboro, MD. Practice services are available at 16729 QUEEN ANNE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16729 Queen Anne Rd

Upper Marlboro, MD 207748754

Telephone 3016132430

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Upper Marlboro, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Upper Marlboro, MD (2555 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 MD 7399

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1164519385 (MD)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active November 26, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2010

Registered at 16729 QUEEN ANNE RD, UPPER MARLBORO, MD 207748754 (Tel: 3016132430)

📍
Updated Business Mailing Address November 26, 2010

Registered at 16729 QUEEN ANNE RD, UPPER MARLBORO, MD 207748754 (Tel: 3016132430)

👤
Provider Name / Credentials Updated November 26, 2010

Recorded as KEITH THEODORE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2010

Dentist (License #7399 in MD)

🟢
Initial NPI Registration & Enumeration November 26, 2010

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: 1902108897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2010
Last Update: November 26, 2010
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

16729 Queen Anne Rd

Upper Marlboro, MD 207748754

Phone: 3016132430

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.