# JACK T. KAYTON III,DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376569970
- **Authorized official:** PATRICIA A FIRER (BUSINESS MANAGER)
- **Authorized official phone:** (434) 977-3939

## Contact information

- **Practice address:** 315 OLD IVY WAY, SUITE 101, CHARLOTTESVILLE, VA 22903-4894
- **Practice address phone:** (434) 977-3939
- **Practice address fax:** (434) 984-1728
- **Mailing address:** 315 OLD IVY WAY, SUITE 101, CHARLOTTESVILLE, VA 22903-4894
- **Mailing address phone:** (434) 977-3939
- **Mailing address fax:** (434) 984-1728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401007877 | VA | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 08/22/2020