Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Johnathan Michael Keller, DDS

Individual provider Dentist · NPI 1578912341

Dr. Johnathan Michael Keller, DDS is a Dentist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1130 W Michigan St FH204
Indianapolis, IN 46202-5209
Phone: (317) 274-0076
Fax: (317) 274-0256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12012526A (IN)

Record details

NPI number1578912341
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 12, 2016
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020
Mailing address3715 Kentucky Ave, Indianapolis, IN 46221-2757

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