DR. ROGER DALE KELLER (NPI# 1962661223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962661223 |
| Entity Type | Individual |
| Full Name | DR. ROGER DALE KELLER |
| Credential | DDS |
| Practice Address |
1039 Highway 126 Bristol TN 37620-3223 |
| Mailing Address |
1039 Hwy 126 Bristol TN 37620 |
| Practice Telephone | 4237645500 |
| Practice Fax Number | 4237645503 |
| Mailing Telephone | 4237645500 |
| Mailing Fax Number | 4237645503 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3840 | TN | Dental Providers |
| Street Address |
1039 HIGHWAY 126 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| 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 |
|---|---|---|---|---|
| 1629695150 | Vishal Bhambri | Dentist | 130 Mill St, Bristol, PA 19007-4807 | 2020-07-01 |
| 1891356135 | Esther Lee | Dentist | 1401 Volunteer Pkwy Apt 3, Bristol, TN 37620-6009 | 2019-06-26 |
| 1376035741 | Cody D Christian | Dentist | 1705 Edgemont Ave, Bristol, TN 37620-4307 | 2018-06-01 |
| 1396198198 | Optima Dental | Dentist | 222 Commerce Cir, Bristol, PA 19007-3113 | 2016-07-15 |
| 1013328442 | Victoria C. Bettis, Dds,llc | Dentist | 14391 Lee Hwy, Bristol, VA 24202-4319 | 2014-05-20 |
| 1215297023 | Kelly J Perry | Dentist | 100 Robie Rd, Bristol, NH 03222-6063 | 2012-05-25 |
| 1285953653 | Bristol Plaza Family Dental | Dentist | 1192 Farmington Ave, Unit D, Bristol, CT 06010-4752 | 2010-05-25 |
| 1336478882 | Paul M Kotuby Jr. | Dentist | 15 Gooding Avenue, Suite 1, Bristol, RI 02809-2600 | 2009-12-11 |
| 1245471978 | Pa Smile Center P.C. | Dentist | 1212 New Rodgers Rd, Suite A-1, Bristol, PA 19007-2512 | 2009-03-09 |
| 1538343405 | Alamont Dental Associates, P.C. | Dentist | 401 Martin Luther King Jr. Blvd., Bristol, TN 37620 | 2007-12-27 |
| Find all providers in BRISTOL | ||||
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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.