MEDICARE: DR. STEPHAN DENIS CAYE 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	122300000X	Dentist	2014018886	MO

General Provider Information

NPI Number	:	1760896831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHAN DENIS CAYE D.D.S.

Provider Business Mailing Address
First Line	:	1648 SE BLUE PKWY
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64063-3191
Country	:	US
Telephone Number	:	816-600-6330
Fax Number	:	816-533-7044

Provider Business Practice Location Address
First Line	:	1648 SE BLUE PKWY
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64063-3191
Country	:	US
Telephone Number	:	816-600-6330
Fax Number	:	816-533-7044

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

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	01/24/2023

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