| Pamela J. Keller, Dmd, P.a. | |
|
301 N Summit St Crescent City FL 32112-2333 | |
| (386) 698-1138 | |
| (386) 698-1183 |
| Full Name | Pamela J. Keller, Dmd, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 N Summit St, Crescent City, Florida |
| Authorized Official Name and Position | Pamela Jo Keller (PRESIDENT) |
| Authorized Official Contact | 9046316808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela J. Keller, Dmd, P.a. 301 N Summit St Crescent City FL 32112-2333 Ph: (386) 698-1138 | Pamela J. Keller, Dmd, P.a. 301 N Summit St Crescent City FL 32112-2333 Ph: (386) 698-1138 |
| NPI Number | 1215272646 |
|---|---|
| Provider Enumeration Date | 12/12/2012 |
| Last Update Date | 12/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215272646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 10773 (Florida) | Primary |