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

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: July 19, 2026.

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
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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

What is Keith Theodore's NPI number?

The NPI number assigned to this healthcare provider is 1902108897, enumerated as an "individual" on November 26, 2010.

Where is the provider located?

The provider is located at 16729 QUEEN ANNE RD UPPER MARLBORO, MD 20774 and the phone number is (301) 613-2430.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does Keith Theodore accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.