MS. KILEY AMANDA RAYA (NPI# 1902368160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902368160 |
| Entity Type | Individual |
| Full Name | MS. KILEY AMANDA RAYA |
| Credential | DMD |
| Practice Address |
12165 Elm St Princess Anne MD 21853-1358 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4106515151 |
| Practice Fax Number | 4106514256 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
LL853 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Street Address |
12165 ELM ST |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849920 | Three Lower Counties Community Services,inc. | Clinic/Center | 12165 Elm St, Princess Anne, MD 21853-1358 | 2005-08-30 |
| 1164041703 | Roli Emiko | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-14 |
| 1013536051 | Antonia Sonte Neal | Student in an Organized Health Care Education/Training Program | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-09 |
| 1821627589 | Michelle Ayoroa-perez | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-05 |
| 1649809450 | Surina Das | Student in an Organized Health Care Education/Training Program | 12165 Elm St, Princess Anne, MD 21853-1358 | 2020-04-03 |
| 1578113494 | Remington Charles Glenn Dewey | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-09-12 |
| 1982259289 | Elisabeth Anne Boyko | Dental Hygienist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-08-05 |
| 1790346229 | Jacklyn Aliza Pivovarov | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-06-25 |
| 1023571726 | Jaswinder Singh | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-04-09 |
| 1295298990 | Sukhvir Kaur | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1285182857 | Bryant Julian Howard | Social Worker | 12145 Elm St, Princess Anne, MD 21853 | 2016-09-13 |
| 1740490150 | Jon R Spence | Pharmacist | 12145 Elm Street, Princess Anne, MD 21853 | 2007-05-23 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859284 | Kristine Oladayo Oladipo | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-03-05 |
| 1841758349 | Brandon David Cesario | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-03-04 |
| 1487111571 | Marissa Margaret Carvalho | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2019-02-25 |
| 1780187112 | Muhammed Faseeh Saif | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2018-03-12 |
| 1790287506 | Joseph Shine Dibenedetto | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2018-03-07 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| 1972035939 | Summer Rose Ceraolo-o'donnell | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2017-03-29 |
| 1255790424 | Mehreen Bilal Kassoo | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2016-02-17 |
| 1164881439 | Jaspreet K Ghuman | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2016-02-15 |
| 1811356488 | Rhoderick Blasco | Dentist | 12165 Elm St, Princess Anne, MD 21853-1358 | 2016-02-11 |
| Find all providers in PRINCESS ANNE | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.