Provider Demographics
NPI:1770215030
Name:KAYALI, HANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANA
Middle Name:
Last Name:KAYALI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3843 MISTY BAY CV
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:TN
Mailing Address - Zip Code:38002-8178
Mailing Address - Country:US
Mailing Address - Phone:901-485-1889
Mailing Address - Fax:
Practice Address - Street 1:133 N CENTER ST
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2130
Practice Address - Country:US
Practice Address - Phone:662-562-9609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS4305-22122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist