Provider Demographics
NPI:1538853734
Name:FOELL, KAYLA (DMD)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:FOELL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4090 ALBION ST APT 208
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-4467
Mailing Address - Country:US
Mailing Address - Phone:901-494-3096
Mailing Address - Fax:
Practice Address - Street 1:14807 W 64TH AVE UNIT C
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-0104
Practice Address - Country:US
Practice Address - Phone:303-456-4095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00205589122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist