DR. KEITH FELIX THEODORE DDS
NPI 1902108897
Dentist - General Practice in Upper Marlboro, MD

Q: What is Keith Theodore's NPI number?

The NPI number for Keith Theodore is 1902108897. It was assigned to this individual provider in the NPPES registry on November 26, 2010.

Q: What is Keith Theodore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Keith Theodore was last updated on November 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 26, 2010

16729 QUEEN ANNE RD, UPPER MARLBORO, MD 20774(301) 613-2430 Get Directions Write a Review

NPPES record last updated: November 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Keith Felix Theodore Dds NPPES

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

DR. KEITH FELIX THEODORE DDS (NPI 1902108897) is an individual general practice provider in Upper Marlboro, Maryland, licensed in Maryland (7399) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1902108897

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEITH FELIX THEODORECredential: DDS

Location Address16729 QUEEN ANNE RDUpper Marlboro, MD 20774-8754

Mailing Address16729 Queen Anne RdUpper Marlboro, MD 20774-8754 · (301) 613-2430

Phone(301) 613-2430

Sole ProprietorYes

Enumeration DateNovember 26, 2010

✔ NPI 1902108897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 7399

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

16729 QUEEN ANNE RD, Upper Marlboro, MD 20774

Open in Google Maps ↗

Other Identifiers 1

Medicaid1164519385MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Theodore's NPI number?

The NPI number for Keith Theodore is 1902108897. It was assigned to this individual provider in the NPPES registry on November 26, 2010.

Where is Keith Theodore located?

Keith Theodore practices at 16729 Queen Anne Rd, Upper Marlboro, MD 20774. The listed phone number is (301) 613-2430.

What is Keith Theodore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Keith Theodore accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Keith Theodore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Theodore was last updated on November 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.