MEDICARE: WILLIAM SASDA KAY DMD

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	390200000X	Student in an Organized Health Care Education/Training Program	2901602909	MI

General Provider Information

NPI Number	:	1407698491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM SASDA KAY DMD

Provider Business Mailing Address
First Line	:	9180 N COACHLINE BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-7360
Country	:	US
Telephone Number	:	520-577-0035
Fax Number	:	520-577-0044

Provider Business Practice Location Address
First Line	:	9180 N COACHLINE BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85743-7360
Country	:	US
Telephone Number	:	520-577-0035
Fax Number	:	520-577-0044

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

Provider Enumeration Date	:	06/10/2024
Last Update Date	:	05/26/2026

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Directions to “ WILLIAM SASDA KAY DMD” Practice Location

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