MEDICARE: DR. WILLIAM R KAYE D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	16969	OH

General Provider Information

NPI Number	:	1669555975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM R KAYE D.D.S.

Provider Business Mailing Address
First Line	:	420 BEECHER RD
Second Line	:	SUITE A
City	:	GAHANNA
State	:	OH
Zip	:	43230-1797
Country	:	US
Telephone Number	:	614-775-0222
Fax Number	:	614-775-0824

Provider Business Practice Location Address
First Line	:	420 BEECHER RD
Second Line	:	SUITE A
City	:	GAHANNA
State	:	OH
Zip	:	43230-1797
Country	:	US
Telephone Number	:	614-775-0222
Fax Number	:	614-775-0824

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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