Individual provider · Type 1 NPI

Elijah Keller

Dentist · Michigan City, IN

NPI number 1710871108 Active

Practice location

1213 E Coolspring Ave
Michigan City, IN 46360-6319

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	12014755A (IN)

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 1710871108

Elijah Keller's National Provider Identifier is 1710871108, issued on Jun 9, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Michigan City, IN. The record was last updated on Jun 9, 2025.