KYLE KELLER (NPI# 1609303486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609303486 |
| Entity Type | Individual |
| Full Name | KYLE KELLER |
| Credential | D.D.S. |
| Practice Address |
111 Main St Wadsworth OH 44281-1433 |
| Practice Telephone | 3303365788 |
| Practice Fax Number | 3303341425 |
| Mailing Telephone | 3303365788 |
| Mailing Fax Number | 3303341425 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.025043 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710356134 | Kyle Keller | Social Worker | 1150 Montreal Ave # 107, Saint Paul, MN 55116-2390 | 2015-09-15 |
| 1083176622 | Kyle Anthony Keller | Student in an Organized Health Care Education/Training Program | 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 | 2019-04-03 |
| 1912389909 | Kyle Keller | Counselor | 289 Independence Blvd, Ste 312, Virginia Beach, VA 23462-5493 | 2015-06-25 |
| Street Address |
111 MAIN ST |
| City | WADSWORTH |
| State | OH |
| Zip Code | 44281-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233971 | Family Dentistry On The Square, Inc | Dentist | 111 Main St, Wadsworth, OH 44281-1433 | 2016-09-15 |
| 1760768576 | Pamela Arathi Susai | Dentist | 111 Main St, Wadsworth, OH 44281-1433 | 2011-10-25 |
| 1235346651 | Robert Russell Guthrie | Dentist | 111 Main St, Wadsworth, OH 44281-1433 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942764857 | Robert Andrew Welch | Contractor | 214 Stratford Avenue, Wadsworth, OH 44281 | 2019-01-24 |
| 1497236475 | Isaac Kennedy II | Case Manager/Care Coordinator | 205 Wadsworth Rd, Wadsworth, OH 44281 | 2018-08-27 |
| 1861906216 | Core Counseling & Consulting, LLC | Counselor | 6438 Ridge Rd, Office 5, Wadsworth, OH 44281 | 2017-11-21 |
| 1790203313 | Andrea Allington | Speech-Language Pathologist | 524 Broad Street, Wadsworth, OH 44281 | 2017-09-04 |
| 1669830840 | Christina Ann Cook | Nurse Practitioner | 200 Smokerise Dr., Suite 100, Wadsworth, OH 44281 | 2016-02-03 |
| 1619341484 | Modern Hearing Solutions of Wadsworth, Inc. | Hearing Aid Equipment | 1197 High St. Nw, Suite 100, Wadsworth, OH 44281 | 2015-11-17 |
| 1689042475 | Julia Copley | Counselor | 1219 High Street Suite 100, Wadsworth, OH 44281 | 2015-09-10 |
| 1083090070 | Brittany Morgan Reynolds | Physical Therapist | 145 Smokerise Drive, Wadsworth, OH 44281 | 2015-08-03 |
| 1912399122 | Beverly Major | Counselor | 6438 Ridge Rd., Wadsworth, OH 44281 | 2015-02-25 |
| 1073904538 | Wadsworth City Schools | Speech-Language Pathologist | 150 Silvercreek Rd., Wadsworth, OH 44281 | 2015-02-05 |
| Find all providers in zip 44281 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | 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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710493788 | Robert J. Skiffey Dds Inc | Dentist | 300 Weatherstone Dr, Wadsworth, OH 44281-7833 | 2017-12-28 |
| 1235518317 | Robert Skiffey | Dentist | 1 Park Center Dr Ste 105, Wadsworth, OH 44281-9482 | 2015-05-22 |
| 1144588187 | April Stalevicz | Dentist | 950 High St, Wadsworth, OH 44281-8223 | 2012-04-27 |
| 1952475766 | Jeff Thomas Warner | Dentist | 235 Broad Street, Wadsworth, OH 44281 | 2006-11-20 |
| 1477667632 | Angela R Gasser | Dentist | 1219 High St, Ste 110, Wadsworth, OH 44281-9421 | 2006-08-17 |
| 1780624635 | Jeff T Warner Dds Inc | Dentist | 235 Broad St, Wadsworth, OH 44281 | 2006-06-08 |
| 1790233971 | Family Dentistry On The Square, Inc | Dentist | 111 Main St, Wadsworth, OH 44281-1433 | 2016-09-15 |
| 1649533258 | Alexander Jentes Mcilvaine | Dentist | 235 Broad Street, Wadsworth, OH 44281-2112 | 2012-06-19 |
| 1760768576 | Pamela Arathi Susai | Dentist | 111 Main St, Wadsworth, OH 44281-1433 | 2011-10-25 |
| 1851586184 | Shahir M Khalil | Dentist | 1392 High St, #210, Wadsworth, OH 44281-8257 | 2007-09-10 |
| Find all providers in WADSWORTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.