Provider Demographics
NPI:1437173564
Name:KAYE, ALAN HARRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:HARRIS
Last Name:KAYE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:479 S PECK DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4115
Mailing Address - Country:US
Mailing Address - Phone:310-275-1134
Mailing Address - Fax:310-275-9054
Practice Address - Street 1:436 N ROXBURY DR
Practice Address - Street 2:SUITE 107
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5026
Practice Address - Country:US
Practice Address - Phone:310-275-1134
Practice Address - Fax:310-275-9054
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA255571223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery