What is Keith Theodore's NPI number?

Keith Theodore's National Provider Identifier (NPI) is 1902108897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Keith Theodore's specialty?

Keith Theodore is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Keith Theodore located?

Keith Theodore's practice location on file with NPPES is 16729 Queen Anne Rd, Upper Marlboro, MD 20774-8754.

What is Keith Theodore's phone number?

The practice phone number listed in the NPPES registry for Keith Theodore is (301) 613-2430.

Is Keith Theodore's NPI active?

Yes — Keith Theodore's NPI (1902108897) is active in the NPPES registry as of the last update on 2010-11-26.

IndividualActive

Keith Theodore, DDS

NPI 1902108897 · General Practice Dentistry · Upper Marlboro, MD

Keith Theodore, DDS is a General Practice Dentistry provider in Upper Marlboro, MD (NPI 1902108897).

Provider details

NPI number: 1902108897
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 7399 (MD)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 7399 (MD)
Dental Providers

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

16729 Queen Anne Rd

Upper Marlboro, MD 20774-8754

Phone: (301) 613-2430

Street-level locationGet directions

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Mailing address