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

Payton Keller, DDS

Individual provider General Practice Dentistry · NPI 1790416345

Payton Keller, DDS is a General Practice Dentistry in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
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

4930 Camp Bowie Blvd
Fort Worth, TX 76107-4153
Phone: (402) 216-9318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 38483 (TX)

Record details

NPI number1790416345
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address2640 Waters Edge Ln, Fort Worth, TX 76116-0521

Other providers in Fort Worth