Provider Demographics
NPI:1497264840
Name:SETH AARON KEILES DMD AND DANA GELMAN KEILES DMD PC
Entity Type:Organization
Organization Name:SETH AARON KEILES DMD AND DANA GELMAN KEILES DMD PC
Other - Org Name:NORTHERN WESTCHESTER DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KEILES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:914-245-3103
Mailing Address - Street 1:3505 HILL BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3505 HILL BLVD STE F
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1210
Practice Address - Country:US
Practice Address - Phone:914-245-3103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental