NPI age
6 years
Enumerated 2019-07-23
● Active Type 2 · Organization
Pediatric Dentistry Of Keller Pllc
Pediatric Dentistry Of Keller Pllc is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Member
Last NPPES update
2019-07-23
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
6 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1627 Keller Parkway, Suite 100
Keller, TX 76248
Mailing address
2101 Bradley Dr
Keller, TX 762486868
Authorized official
Jacob Johnson, DDS
Member
📞 4802079709
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.