Provider Demographics
NPI:1104961283
Name:KAYE, RONALD H (DDS)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:H
Last Name:KAYE
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:PO BOX 316
Mailing Address - Street 2:PO BOX 316
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-0316
Mailing Address - Country:US
Mailing Address - Phone:802-848-3829
Mailing Address - Fax:802-848-7554
Practice Address - Street 1:12 HOUGHTON STREET
Practice Address - Street 2:53 MAIN STREET
Practice Address - City:ST ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-0000
Practice Address - Country:US
Practice Address - Phone:802-848-3829
Practice Address - Fax:802-848-7554
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016-00004831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice