DR. KEITH A. BOENNING D.D.S., LLC
NPI 1376678482
Dentist - Prosthodontics in Towson, MD

Active since February 22, 2007
1104 KENILWORTH DR, SUITE 104, TOWSON, MD 21204(410) 828-1717(410) 821-0912 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Keith A. Boenning D.d.s., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH A. BOENNING D.D.S., LLC (NPI 1376678482) is an individual prosthodontics provider in Towson, Maryland, licensed in Maryland (8257) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1376678482
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. KEITH A. BOENNINGCredential: D.D.S., LLC
Location Address1104 KENILWORTH DR, SUITE 104Towson, MD 21204-2101
Mailing Address1104 Kenilworth Dr, Suite 104Towson, MD 21204-2101 · (410) 828-1717 · Fax (410) 821-0912
Fax(410) 821-0912
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 1, 2008
NPI 1376678482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in MD · 8257
Definition
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.
1104 KENILWORTH DR, Towson, MD 21204

Other Identifiers 1

Other26-2579369MD · Federal Tax Id

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1104 KENILWORTH DR
TOWSON, MD 21204
Psychologist
1104 KENILWORTH DR
BALTIMORE, MD 21204
Dentist (General Practice)
1104 KENILWORTH DR, SUITE 102
BALTIMORE, MD 21204
Ophthalmology
1104 KENILWORTH DR, SUITE 400
TOWSON, MD 21204
Clinic/Center (Adult Mental Health)
1104 KENILWORTH DR, SUITE 210
TOWSON, MD 21204
Social Worker (Clinical)
1104 KENILWORTH DR, SUITE 210
TOWSON, MD 21204
Clinic/Center (Mental Health (Including Community Mental Health Center))
1104 KENILWORTH DR, SUITE 302
TOWSON, MD 21204
Dentist (General Practice)
1104 KENILWORTH DR, STE 102
BALTIMORE, MD 21204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Boenning's NPI number?

The NPI number for Keith Boenning is 1376678482. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Keith Boenning located?

Keith Boenning practices at 1104 Kenilworth Dr Suite 104, Towson, MD 21204. The listed phone number is (410) 828-1717.

What is Keith Boenning's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Keith Boenning was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.