Provider Demographics
NPI:1881814374
Name:HOASJOE, KAY (DDS)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:
Last Name:HOASJOE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 HARRISON AVE
Mailing Address - Street 2:SUITE #306
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1924
Mailing Address - Country:US
Mailing Address - Phone:617-451-3839
Mailing Address - Fax:617-451-2722
Practice Address - Street 1:65 HARRISON AVE
Practice Address - Street 2:SUITE #306
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1924
Practice Address - Country:US
Practice Address - Phone:617-451-3839
Practice Address - Fax:617-451-2722
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA186781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice