Organization · Type 2 NPI

Keller Professional Group, Dmd, PC

Dentist · St. Louis, MO

NPI number 1306935986 Active

Practice location

3929 Bayless Ave
St. Louis, MO 63125-1437

Fax (314) 638-3900

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Physical Therapist 225100000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1306935986

Keller Professional Group, Dmd, PC's National Provider Identifier is 1306935986, issued on Oct 12, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 11, 2025.