NPI

Meisa Keivani

NPI 1275274060

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2022-04-05
Last updated
2026-08-18

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Specialties

Licenses

License TX
ETN745
License NY
063584

Location

Practice location
195 Montauk Hwy
City
Speonk NY
Postal code
11972-2501
Phone
(631) 325-0731

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Speonk, NY. 29 records in the public file.

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