# SHREWSBURY FAMILY DENTAL, LLC

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

## Provider details

- **NPI number:** 1376823500
- **Authorized official:** DR. MICHAEL E KELLER DMD (OWNER/PRESIDENT)
- **Authorized official phone:** (732) 747-9333

## Contact information

- **Practice address:** 555 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4178
- **Practice address phone:** (732) 747-9333
- **Practice address fax:** (732) 747-6365
- **Mailing address:** 555 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4178
- **Mailing address phone:** (732) 747-9333
- **Mailing address fax:** (732) 747-6365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 23195 | NJ | Yes |

## Other

- **Enumeration date:** 08/19/2011
- **Last updated:** 08/19/2011