Provider Demographics
NPI:1972689248
Name:KAY, GEORGE W (DMD,MMSC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:W
Last Name:KAY
Suffix:
Gender:M
Credentials:DMD,MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 BILLINGS ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2102
Mailing Address - Country:US
Mailing Address - Phone:781-784-3670
Mailing Address - Fax:
Practice Address - Street 1:780 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02199-7820
Practice Address - Country:US
Practice Address - Phone:617-424-0124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA146831223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics