MEDICARE: DR. KENNETH ROBERT EYE II DDS

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	0401411947	VA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1780885160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH ROBERT EYE II DDS

Provider Business Mailing Address
First Line	:	563 UNIVERSITY BLVD STE 140
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-3752
Country	:	US
Telephone Number	:	540-434-5500
Fax Number	:	540-434-5525

Provider Business Practice Location Address
First Line	:	563 UNIVERSITY BLVD STE 140
Second Line	:
City	:	HARRISONBURG
State	:	VA
Zip	:	22801-3752
Country	:	US
Telephone Number	:	540-434-5500
Fax Number	:	540-434-5525

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

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	01/20/2026

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