Provider Demographics
NPI:1508484320
Name:KAYLA FIKE D.D.S. LLC
Entity Type:Organization
Organization Name:KAYLA FIKE D.D.S. LLC
Other - Org Name:FIKE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FIKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-749-1707
Mailing Address - Street 1:9215 NASH LN
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-9814
Mailing Address - Country:US
Mailing Address - Phone:216-407-9418
Mailing Address - Fax:
Practice Address - Street 1:5311 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1617
Practice Address - Country:US
Practice Address - Phone:216-407-9418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty