Individual
BENJAMIN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10225 OCEAN HWY UNIT 203, PAWLEYS ISLAND, SC 29585-6507
(843) 314-0866
Mailing address
10225 OCEAN HWY UNIT 203, PAWLEYS ISLAND, SC 29585-6507
(540) 903-1731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.10184
SC
Other
Enumeration date
03/21/2022
Last updated
07/28/2025
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