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ELIJAH KELLER
NPI 1710871108
Dentist in Michigan City, IN

Active since June 09, 2025
1213 E COOLSPRING AVE, MICHIGAN CITY, IN 46360(269) 870-5105 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elijah Keller NPPES

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

ELIJAH KELLER (NPI 1710871108) is an individual dentist in Michigan City, Indiana, licensed in Indiana (12014755A) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1710871108
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameELIJAH KELLER
Location Address1213 E COOLSPRING AVEMichigan City, IN 46360-6319
Mailing Address1213 E Coolspring AveMichigan City, IN 46360-6319
Phone(269) 870-5105
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
✔ NPI 1710871108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12014755A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1213 E COOLSPRING AVE, Michigan City, IN 46360
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Other Providers at the Same Location NPPES 9

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

JULIANNA MYRICK
Dentist
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151
BRUCE E. NAGEL D.D.S., INC.
Dentist (General Practice)
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151
TAMARA EATON DDS PC
Dentist (General Practice)
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151
JAMES R. MCCORMICK DDS
Dentist (General Practice)
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151
TAMARA EATON DDS
Dentist (General Practice)
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151
DR. JAMES D WEBER D.D.S.
Dentist
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151
DR. BRUCE E NAGEL D.D.S.
Dentist (General Practice)
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151
DR. JAMES RICHARD MCCORMICK DDS
Dentist
1213 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Laporte County (219) 872-9151

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 Elijah Keller's NPI number?

The NPI number for Elijah Keller is 1710871108. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Elijah Keller located?

Elijah Keller practices at 1213 E Coolspring Ave, Michigan City, IN 46360. The listed phone number is (269) 870-5105.

What is Elijah Keller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Elijah Keller was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.