| Dr Johnathan Michael Keller, DDS | |
|
1130 W Michigan St, Fh204, Indianapolis, IN 46202-5209 | |
| (317) 274-0076 | |
| (317) 274-0256 |
| Full Name | Dr Johnathan Michael Keller |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1130 W Michigan St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578912341 | NPI | - | NPPES |
| 1578912341 | Other | IN | NPI TYPE 1 |
| 13885169 | Other | IN | CAQH |
| 12012526A | Other | IN | IN DENTAL LICENSE |
| 201375420 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012526A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johnathan Michael Keller, DDS 3715 Kentucky Ave, Indianapolis, IN 46221-2757 Ph: (317) 946-4464 | Dr Johnathan Michael Keller, DDS 1130 W Michigan St, Fh204, Indianapolis, IN 46202-5209 Ph: (317) 274-0076 |
Dr. Jeong Hwa Hong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 W Michigan St, Indianapolis, IN 46202 Phone: 317-274-7957 | |
Charles G Abraham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd # Uh3195, Indianapolis, IN 46202 Phone: 317-274-8300 Fax: 317-274-8300 | |
Noah Menaker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-3865 | |
Alexandra Bojrab, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7007 Us 31, Indianapolis, IN 46227 Phone: 317-676-3065 | |
Manpreet Kaur Dhanjal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10110 E Washington St Ste E, Indianapolis, IN 46229 Phone: 317-897-0200 | |
Ryan Campbell Jay, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12110 Pendleton Pike, Indianapolis, IN 46236 Phone: 317-826-1050 Fax: 317-826-1065 | |
Dr. Iris Corina Mcnicholl, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1481 West 10th Street, Indianapolis, IN 46202 Phone: 317-988-2733 Fax: 317-988-5377 |