Provider Demographics
NPI:1053501635
Name:KAY, BRIAN ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ARTHUR
Last Name:KAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ARASH
Other - Middle Name:
Other - Last Name:KHOSHNODI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1900 CLOISTERS DR
Mailing Address - Street 2:APT.321
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2942
Mailing Address - Country:US
Mailing Address - Phone:602-769-9570
Mailing Address - Fax:602-769-9570
Practice Address - Street 1:1800 S PACIFIC ST
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:TX
Practice Address - Zip Code:75773-2800
Practice Address - Country:US
Practice Address - Phone:903-569-5569
Practice Address - Fax:903-569-1601
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD57711223G0001X
TX211571223G0001X
CA579911223G0001X
NMDD36421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice