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

Elijah Keller

Individual provider Dentist · NPI 1710871108

Elijah Keller is a Dentist in Michigan City, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025

Practice location Address checks out

1213 E Coolspring Ave
Michigan City, IN 46360-6319
Phone: (269) 870-5105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12014755A (IN)

Record details

NPI number1710871108
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address1213 E Coolspring Ave, Michigan City, IN 46360-6319

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