Provider Demographics
NPI:1538046768
Name:KELLER FAMILY DENTISTRY, SLEEP & FACIAL PAIN PLLC
Entity type:Organization
Organization Name:KELLER FAMILY DENTISTRY, SLEEP & FACIAL PAIN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSWAITI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:682-417-8186
Mailing Address - Street 1:841 N TARRANT PKWY STE 112
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-6823
Mailing Address - Country:US
Mailing Address - Phone:682-417-8186
Mailing Address - Fax:817-393-3213
Practice Address - Street 1:841 N TARRANT PKWY STE 112
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-6823
Practice Address - Country:US
Practice Address - Phone:682-417-8186
Practice Address - Fax:817-393-3213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty