# JOHN J KELLER DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134250236
- **Authorized official:** JOHN J KELLER DDS (PRESIDENT)
- **Authorized official phone:** (763) 421-4550

## Contact information

- **Practice address:** 552 E MAIN ST, ANOKA, MN 55303-2529
- **Practice address phone:** (763) 421-4550
- **Practice address fax:** (763) 421-5428
- **Mailing address:** 552 E MAIN ST, ANOKA, MN 55303-2529
- **Mailing address phone:** (763) 421-4550
- **Mailing address fax:** (763) 421-5428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 10034 | MN | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 11/11/2008