Provider Demographics
NPI:1104945609
Name:KAYNE, BARRY S (DDS)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:S
Last Name:KAYNE
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:THE OMEGA PROFESSIONAL CENTER
Mailing Address - Street 2:STE F58
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-456-0400
Mailing Address - Fax:302-456-0396
Practice Address - Street 1:THE OMEGA PROFESSIONAL CENTER
Practice Address - Street 2:STE F58
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-456-0400
Practice Address - Fax:302-456-0396
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE8841223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics