Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164124798 Individual Practitioner Male Practitioner

Keller Northcutt

Dentist - General Practice • Marshall, TX

Professional Overview & Biography Verified Profile Summary

Keller Northcutt is a registered healthcare professional specializing in Dentist - General Practice in Marshall, TX. Practice services are available at 100 FORREST TER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Forrest Ter

Marshall, TX 756706804

Telephone 9039388315
Associated Practice Facility / Clinic
🏢 Marshall Family Dental Pllc Facility NPI 1861749970

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marshall, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Marshall, TX (10570 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

CMS Verified: 2025-06-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 40581

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.

Secondary Practice Locations

1803 N 18th St

Nederland, TX 776274856

Phone: 4097273511

Practice Associates & Co-Workers

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

4 Associated Practitioners
Feda Zayed

Dentist - General Practice

NPI 1073918678
Dr. Jacob Bonola , DMD

Dentist - Dental Public Health

NPI 1497479877

Doctor of Dental Medicine

NPI 1689418097

Doctor of Dental Surgery

Scott Witte

Dentist - General Practice

NPI 1760746283

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 11, 2025

Registered at 100 FORREST TER, MARSHALL, TX 756706804 (Tel: 9039388315)

📍
Updated Business Mailing Address June 11, 2025

Registered at 100 FORREST TER, MARSHALL, TX 756706804

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2025

Dentist (License #40581 in TX)

NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

📍
Updated Business Mailing Address March 20, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

👤
Provider Name / Credentials Updated March 20, 2023

Recorded as KELLER NORTHCUTT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2023

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: 1164124798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2023
Last Update: June 11, 2025
Sole Proprietor: No

Mailing Address

100 Forrest Ter

Marshall, TX 756706804

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.