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John David Keller IV, DDS
General Practice Dentistry in Roscoe, Illinois
NPI 1760562334

John David Keller IV is a General Practice Dentistry based in Roscoe, IL and is specialized in General Practice. John David Keller IV practices in Roscoe, IL and has the professional credentials of DDS. The NPI Number for John David Keller IV is 1760562334 and holds a License No. (Illinois).

The current practice location address for John David Keller IV is 4920 Hononegah Rd, Roscoe, IL and can be reached out via phone at 815-623-3926 and via fax at 815-623-3930.

Location: 4920 Hononegah Rd, Roscoe, IL, 61073-7778
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760562334
Provider Name
John David Keller IV
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4920 Hononegah Rd, Roscoe, IL, 61073-7778
Phone Number
815-623-3926
Fax Number
815-623-3930
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4920 Hononegah Rd
City
Roscoe
State
Illinois
Zip
61073-7778
Phone Number
815-623-3926
Fax Number
815-623-3930
person
Provider Business Mailing Address Details
Address
4920 Hononegah Rd
City
Roscoe
State
Illinois
Zip
61073-7778
Phone Number
815-623-3926
Fax Number
815-623-3930
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
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.
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