Provider Demographics
NPI:1578021556
Name:MAYE DENTAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:MAYE DENTAL ASSOCIATES PLLC
Other - Org Name:KIESEL AND MAYE DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MAYE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:267-258-5120
Mailing Address - Street 1:355 EDGEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1412
Mailing Address - Country:US
Mailing Address - Phone:267-258-5120
Mailing Address - Fax:
Practice Address - Street 1:355 EDGEMONT AVE
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1412
Practice Address - Country:US
Practice Address - Phone:267-258-5120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental