Keller, Keith Cyrus

Keller, Keith Cyrus is an sole proprietor health care provider with primary practice located at 4010 82Nd St , Elmhurst NY 11373-1305. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Keller, Keith Cyrus can be contacted via phone (718) 426-3333.

Contact Information

Primary practice address
4010 82Nd St Elmhurst NY 11373-1305
Phone: (718) 426-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 055988 New York

Profile Details

NPI number 1700179710
LBN Legal business name Keller, Keith Cyrus
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2011
Last updated Sep 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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