Provider Demographics
NPI:1497815070
Name:KYE, KEITH ALAN (DDS)
Entity Type:Individual
Prefix:MR
First Name:KEITH
Middle Name:ALAN
Last Name:KYE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:KEITH
Other - Middle Name:ALAN
Other - Last Name:KYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:8936 NORTHPOINTE EXECUTIVE PARK DRIVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078
Mailing Address - Country:US
Mailing Address - Phone:704-896-0515
Mailing Address - Fax:704-894-9668
Practice Address - Street 1:8936 NORTHPOINTE EXECUTIVE PARK DRIVE
Practice Address - Street 2:SUITE 120
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078
Practice Address - Country:US
Practice Address - Phone:704-896-0515
Practice Address - Fax:704-894-9668
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC61491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice