Provider Demographics
NPI:1851606222
Name:BARILE, CALEY S (DMD)
Entity Type:Individual
Prefix:DR
First Name:CALEY
Middle Name:S
Last Name:BARILE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CALEY
Other - Middle Name:S
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:114 TROY ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061
Mailing Address - Country:US
Mailing Address - Phone:518-477-8428
Mailing Address - Fax:518-477-5671
Practice Address - Street 1:114 TROY ROAD
Practice Address - Street 2:
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061
Practice Address - Country:US
Practice Address - Phone:518-477-8428
Practice Address - Fax:518-477-5671
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0550621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice