Provider Demographics
NPI:1821003542
Name:DRS.J. KOTAPISH & C. KAYAFAS, INC.
Entity Type:Organization
Organization Name:DRS.J. KOTAPISH & C. KAYAFAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:KOTAPISH,JR.
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:330-666-0400
Mailing Address - Street 1:3075 SMITH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4454
Mailing Address - Country:US
Mailing Address - Phone:330-666-0400
Mailing Address - Fax:330-666-0130
Practice Address - Street 1:3075 SMITH RD STE 201
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4454
Practice Address - Country:US
Practice Address - Phone:330-666-0400
Practice Address - Fax:330-666-0130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty