Provider Demographics
NPI:1669682332
Name:KAYS, B THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:B
Middle Name:THOMAS
Last Name:KAYS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 SAVANNAH HWY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7804
Mailing Address - Country:US
Mailing Address - Phone:864-556-8030
Mailing Address - Fax:843-556-6311
Practice Address - Street 1:1040 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7804
Practice Address - Country:US
Practice Address - Phone:864-556-8030
Practice Address - Fax:843-556-6311
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC1639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1508932153OtherPRACTICE NPI