IndividualActive
Keith Hallaian, D.M.D., M.D.
NPI 1366586208 · Oral and Maxillofacial Pathology Dentistry · Smithtown, NY
Provider details
- NPI number
- 1366586208
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- D.M.D., M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 048248 (NY)
Specialties & taxonomies
Dental Providers
Practice location
80 Maple Ave
Smithtown, NY 11787-3520
Phone: (631) 265-6533
Fax: (631) 265-6723
Approximate (ZIP-level) locationGet directions
Mailing address
80 Maple Ave
Smithtown, NY 11787-3520
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.