| Jack T. Kayton Iii,dds, Pllc | |
|
315 Old Ivy Way Suite 101 Charlottesville VA 22903-4894 | |
| (434) 977-3939 | |
| (434) 984-1728 |
| Full Name | Jack T. Kayton Iii,dds, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 315 Old Ivy Way, Charlottesville, Virginia |
| Authorized Official Name and Position | Patricia A Firer (BUSINESS MANAGER) |
| Authorized Official Contact | 4349773939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack T. Kayton Iii,dds, Pllc 315 Old Ivy Way Suite 101 Charlottesville VA 22903-4894 Ph: (434) 977-3939 | Jack T. Kayton Iii,dds, Pllc 315 Old Ivy Way Suite 101 Charlottesville VA 22903-4894 Ph: (434) 977-3939 |
| NPI Number | 1376569970 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376569970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401007877 (Virginia) | Primary |
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