DR. KEITH A. BOENNING D.D.S. LLC NPI 1376678482

NPI Information

NPI: 1376678482
Provider Name: DR. KEITH A. BOENNING, D.D.S., LLC
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
1104 KENILWORTH DR
SUITE 104
TOWSON, MD
ZIP 21204
Phone: (410) 828-1717
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DR. Keith A. Boenning, D.D.S., LLC is a prosthodontics dentist in Towson, MD. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Keith A. Boenning, D.D.S., LLC NPI is 1376678482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1104 KENILWORTH DR
SUITE 104
TOWSON, MD
ZIP 21204-101
Phone: (410) 828-1717
Fax: (410) 821-0912

The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	8257	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26-2579369	OTHER	MARYLAND	FEDERAL TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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