MEDICARE: DR. KAYANNA SAYRE-POE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	4181	WV

General Provider Information

NPI Number	:	1366827107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAYANNA SAYRE-POE DDS

Provider Business Mailing Address
First Line	:	5527 OHIO RIVER RD
Second Line	:
City	:	POINT PLEASANT
State	:	WV
Zip	:	25550-9203
Country	:	US
Telephone Number	:	304-882-3136
Fax Number	:	304-882-3136

Provider Business Practice Location Address
First Line	:	5527 OHIO RIVER RD
Second Line	:
City	:	POINT PLEASANT
State	:	WV
Zip	:	25550-9203
Country	:	US
Telephone Number	:	304-882-3136
Fax Number	:	304-882-3136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	06/12/2020

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Directions to “ DR. KAYANNA SAYRE-POE DDS” Practice Location

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