Provider Demographics
NPI:1427713023
Name:ALEC E. KEON, DMD PC
Entity type:Organization
Organization Name:ALEC E. KEON, DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:E
Authorized Official - Last Name:KEON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-588-0666
Mailing Address - Street 1:2273 ROUTE 33
Mailing Address - Street 2:STE 201
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1747
Mailing Address - Country:US
Mailing Address - Phone:609-588-0666
Mailing Address - Fax:
Practice Address - Street 1:2273 ROUTE 33
Practice Address - Street 2:STE 201
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1747
Practice Address - Country:US
Practice Address - Phone:609-588-0666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental