Provider Demographics
NPI:1093283582
Name:KEITH H. KANER, DDS, PA
Entity Type:Organization
Organization Name:KEITH H. KANER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:KANER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-487-4545
Mailing Address - Street 1:9250 GLADES RD STE 207
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3958
Mailing Address - Country:US
Mailing Address - Phone:561-487-4545
Mailing Address - Fax:561-487-9942
Practice Address - Street 1:9250 GLADES RD STE 207
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3958
Practice Address - Country:US
Practice Address - Phone:561-487-4545
Practice Address - Fax:561-487-9942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEITH H. KANER, DDS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty