Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ketti R Boller, DDS, MS

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1255682662

Dr. Ketti R Boller, DDS, MS is an Orthodontics and Dentofacial Orthopedics Dentistry in Crown Point, Indiana. Practices as a sole proprietor and works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2012
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

123 N Main St Ste 101
Crown Point, IN 46307-4077
Phone: (219) 663-2000
Fax: (219) 322-7667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 275 Joliet St Ste 260, Dyer, IN 46311-1798 — (219) 322-7645

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 12014618A (IN)

Record details

NPI number1255682662
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedSeptember 25, 2012
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address123 N Main St Ste 101, Crown Point, IN 46307-4077

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