DR. G. WILLIAM KELLER D.D.S.
NPI 1912120676
Dentist - Periodontics in Wilmington, DE

Q: What is G. Keller's NPI number?

The NPI number for G. Keller is 1912120676. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is G. Keller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for G. Keller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 11, 2007PECOS Enrolled

1110 N BANCROFT PKWY, WILMINGTON, DE 19805(302) 652-3586(302) 652-1174 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. G. William Keller D.d.s. NPPES

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

DR. G. WILLIAM KELLER D.D.S. (NPI 1912120676) is an individual periodontics provider in Wilmington, Delaware, licensed in Delaware (G1-0000899) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912120676

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. G. WILLIAM KELLERCredential: D.D.S.

Location Address1110 N BANCROFT PKWYWilmington, DE 19805-2669

Mailing Address1110 N Bancroft PkwyWilmington, DE 19805-2669 · (302) 652-3586 · Fax (302) 652-1174

Phone(302) 652-3586

Fax(302) 652-1174

Sole ProprietorNo

Enumeration DateApril 11, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912120676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in DE · G1-0000899

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1110 N BANCROFT PKWY, Wilmington, DE 19805

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Other Identifiers 2

Medicare ID-Type Unspecified191870DE

Medicare UPIN42446DE

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. G. William Keller D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. BRADFORD L KLASSMAN D.M.D.

Dentist (Periodontics)