Healthcare Provider Details

I. General information

NPI: 1407698491
Provider Name (Legal Business Name): WILLIAM SASDA KAY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9180 N COACHLINE BLVD
TUCSON AZ
85743-7360
US

IV. Provider business mailing address

9180 N COACHLINE BLVD
TUCSON AZ
85743-7360
US

V. Phone/Fax

Practice location:
  • Phone: 520-577-0035
  • Fax: 520-577-0044
Mailing address:
  • Phone: 520-577-0035
  • Fax: 520-577-0044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2901602909
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: