Individual
DR. TREVOR HOWARD KELLER
Active
Individual
DR. TREVOR HOWARD KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
048618
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
048618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02208542
—
NY
01
—
10072049
CDPHP
NY
Enumeration date
10/16/2006
Last updated
09/11/2025
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