Healthcare Provider Details

I. General information

NPI: 1033855952
Provider Name (Legal Business Name): KYLE HAYES DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1508 MAPLE GROVE CHURCH RD
DUNN NC
28334-7688
US

IV. Provider business mailing address

10 FENTON MAIN ST APT 638
CARY NC
27511-7828
US

V. Phone/Fax

Practice location:
  • Phone: 877-935-5255
  • Fax:
Mailing address:
  • Phone: 774-273-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14533
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: