Healthcare Provider Details

I. General information

NPI: 1437993664
Provider Name (Legal Business Name): ALLISON KEYES DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SISTER PIERRE DR STE 503
TOWSON MD
21204-7527
US

IV. Provider business mailing address

120 SISTER PIERRE DR STE 503
TOWSON MD
21204-7527
US

V. Phone/Fax

Practice location:
  • Phone: 410-825-7500
  • Fax:
Mailing address:
  • Phone: 301-896-0633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number18076
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: