NPI 1891268421 · live from the CMS NPI Registry
794 Keller Parkway Keller Services PLLC
Dentist in Keller, TX. National Provider Identifier 1891268421, active.
NPI record
| NPI | 1891268421 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 794 Keller Pkwy, Keller, TX 76248 |
| Practice phone | 817-431-1596 |
| Enumerated | January 7, 2019 |
| Last updated | January 7, 2019 |
| Authorized official | Peter Grumbos, Owner |
| Other names | Keller Family Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.