Provider Demographics
NPI:1366827107
Name:SAYRE-POE, KAYANNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAYANNA
Middle Name:
Last Name:SAYRE-POE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5527 OHIO RIVER RD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-9203
Mailing Address - Country:US
Mailing Address - Phone:304-882-3136
Mailing Address - Fax:304-882-3136
Practice Address - Street 1:5527 OHIO RIVER RD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-9203
Practice Address - Country:US
Practice Address - Phone:304-882-3136
Practice Address - Fax:304-882-3136
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV4181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist