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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEITH HALLAIAN, D.M.D., M.D.

Active Sole Proprietor

DR. KEITH HALLAIAN, D.M.D., M.D. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in SMITHTOWN, New York. NPI 1366586208 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · SMITHTOWN, NY

Registration Details

NPI Number
1366586208
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2007 (19.449863934633 yrs)
Last Updated
Jul 8, 2007
License
048248 (NY)
Sole Proprietor
Yes

Practice Information

Address
80 MAPLE AVE
SMITHTOWN, NY, 117873520
Browse NY providers · Browse ZIP 11787
Phone
6312656533
Fax
6312656723
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.