Organization
JACK T. KAYTON III,DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A FIRER (BUSINESS MANAGER)
(434) 977-3939
Entity
Organization
Contact information
Practice address
315 OLD IVY WAY, SUITE 101, CHARLOTTESVILLE, VA 22903-4894
(434) 977-3939
(434) 984-1728
Mailing address
315 OLD IVY WAY, SUITE 101, CHARLOTTESVILLE, VA 22903-4894
(434) 977-3939
(434) 984-1728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007877
VA
Other
Enumeration date
07/15/2006
Last updated
08/22/2020
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