Provider Demographics
NPI:1366049009
Name:W.M. KAIS, DDS PLC
Entity type:Organization
Organization Name:W.M. KAIS, DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SELF
Authorized Official - Prefix:
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:KAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-892-7062
Mailing Address - Street 1:1411 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6109
Mailing Address - Country:US
Mailing Address - Phone:989-892-7062
Mailing Address - Fax:
Practice Address - Street 1:1411 CENTER AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6109
Practice Address - Country:US
Practice Address - Phone:989-892-7062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental