# KELLER DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Dok - Dentist of Keller
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720546401
- **Authorized official:** DR. ALLEN CHARLES DDS (OWNER)
- **Authorized official phone:** (817) 752-9828

## Contact information

- **Practice address:** 1431 KELLER PKWY STE 300, KELLER, TX 76248-3860
- **Practice address phone:** (817) 752-9828
- **Practice address fax:** (817) 752-9829
- **Mailing address:** 1431 KELLER PKWY STE 300, KELLER, TX 76248-3860
- **Mailing address phone:** (817) 752-9828
- **Mailing address fax:** (817) 752-9829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2019
- **Last updated:** 06/11/2019