Provider Demographics
NPI:1932761848
Name:KAYSER, ASHLEIGH JEAN (DDS)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:JEAN
Last Name:KAYSER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:JEAN
Other - Last Name:GILLESPIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1137 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-4221
Mailing Address - Country:US
Mailing Address - Phone:815-721-2407
Mailing Address - Fax:417-255-9732
Practice Address - Street 1:1137 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-4221
Practice Address - Country:US
Practice Address - Phone:417-255-8464
Practice Address - Fax:417-255-9732
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019024162122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4000070771Medicaid
MO2019024162OtherMISSOURI LICENSE