Provider Demographics
NPI:1477661585
Name:KEAT, JOSIE SY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSIE
Middle Name:SY
Last Name:KEAT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOSIE
Other - Middle Name:ONG
Other - Last Name:SU-HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2579 JOHN MILTON DR
Mailing Address - Street 2:#250
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2563
Mailing Address - Country:US
Mailing Address - Phone:703-860-8860
Mailing Address - Fax:703-860-8861
Practice Address - Street 1:2579 JOHN MILTON DR
Practice Address - Street 2:#250
Practice Address - City:OAK HILL
Practice Address - State:VA
Practice Address - Zip Code:20171-2563
Practice Address - Country:US
Practice Address - Phone:703-860-8860
Practice Address - Fax:703-860-8861
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010059121223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health