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

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.

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: July 19, 2026.

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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

Phone(410) 828-1717

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

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