Provider Demographics
NPI:1346759339
Name:KAY & PAULUS ORTHODONTICS LLP
Entity Type:Organization
Organization Name:KAY & PAULUS ORTHODONTICS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MYUNG
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-283-4462
Mailing Address - Street 1:5665 MONCLOVA RD
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1835
Mailing Address - Country:US
Mailing Address - Phone:419-893-3376
Mailing Address - Fax:419-893-0575
Practice Address - Street 1:5665 MONCLOVA RD
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1835
Practice Address - Country:US
Practice Address - Phone:419-893-3376
Practice Address - Fax:419-893-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH030209991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty