Individual provider · Type 1 NPI

Kristopher Jacob Keller, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Kingsport, TN

NPI number 1730650037 Active

Practice location

1200 Pulitzer Pl
Kingsport, TN 37660-1568

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12948 (TN)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1730650037

Kristopher Jacob Keller, DDS's National Provider Identifier is 1730650037, issued on Dec 12, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kingsport, TN. The record was last updated on Oct 31, 2025.