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1497264840 NPI number — SETH AARON KEILES DMD AND DANA GELMAN KEILES DMD PC

NPI Number: 1497264840
Health Care Provider/Practitioner: SETH AARON KEILES DMD AND DANA GELMAN KEILES DMD PC

Information about “1497264840” NPI (SETH AARON KEILES DMD AND DANA GELMAN KEILES DMD PC) exists in 1497264840 in HTML format HTML  |  1497264840 in plain Text format TXT  |  1497264840 in PDF (Portable Document Format) PDF  |  1497264840 in an XML format XML  formats.

NPI Number : 1497264840 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497264840",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SETH AARON KEILES DMD AND DANA GELMAN KEILES DMD PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3505 HILL BLVD STE F",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YORKTOWN HEIGHTS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10598-1210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3505 HILL BLVD STE F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YORKTOWN HEIGHTS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10598-1210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-245-3103",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2017",
    "LastUpdateDate": "09/28/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KEILES",
    "AuthorizedOfficialFirstName": "SETH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DENTIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "914-245-3103",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QD0000X",
        "TaxonomyName": "Dental Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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