Provider Demographics
NPI:1114725439
Name:KELLEHER, ESTHER GARCIA (RDH)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:GARCIA
Last Name:KELLEHER
Suffix:
Gender:
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-5020
Mailing Address - Country:US
Mailing Address - Phone:267-252-4482
Mailing Address - Fax:
Practice Address - Street 1:1337 ELM AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4632
Practice Address - Country:US
Practice Address - Phone:717-744-0477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH073369124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist