Healthcare Provider Details

I. General information

NPI: 1164434841
Provider Name (Legal Business Name): LAWRENCE B. KAYE DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W BOWERY ST
AKRON OH
44308-1003
US

IV. Provider business mailing address

227 W BOWERY ST
AKRON OH
44308-1003
US

V. Phone/Fax

Practice location:
  • Phone: 330-253-3198
  • Fax:
Mailing address:
  • Phone: 330-253-3198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number15296
License Number StateOH

VIII. Authorized Official

Name: DR. LAWRENCE B KAYE
Title or Position: PRES.
Credential:
Phone: 330-253-3198