Provider Demographics
NPI:1831292333
Name:KAYE, JANA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:L
Last Name:KAYE
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 1:16311 VENTURA BOULEVARD
Mailing Address - Street 2:SUITE 1250
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436
Mailing Address - Country:US
Mailing Address - Phone:818-789-0555
Mailing Address - Fax:818-789-5011
Practice Address - Street 1:16311 VENTURA BOULEVARD
Practice Address - Street 2:SUITE 1250
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436
Practice Address - Country:US
Practice Address - Phone:818-789-0555
Practice Address - Fax:818-789-5011
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice