Provider Demographics
NPI:1336953595
Name:DR. KAY'S PERIODONTICS AND IMPLANT DENTISTRY
Entity type:Organization
Organization Name:DR. KAY'S PERIODONTICS AND IMPLANT DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KHAWLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALJOHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:216-534-0808
Mailing Address - Street 1:19875 CENTER RIDGE RD APT 454
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3656
Mailing Address - Country:US
Mailing Address - Phone:216-534-0808
Mailing Address - Fax:
Practice Address - Street 1:484 S MILLER RD STE 200
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4176
Practice Address - Country:US
Practice Address - Phone:330-867-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty