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Kayla Lane-Illescas, DDS
NPI 1790575769 · Pediatric Dentistry · Princess Anne, MD
Kayla Lane-Illescas, DDS is a Pediatric Dentistry provider in Princess Anne, MD (NPI 1790575769).
Provider details
- NPI number
- 1790575769
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12165 Elm St
Princess Anne, MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Street-level locationGet directions
Mailing address
Po Box 1978
Salisbury, MD 21802-1978
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Frequently asked questions
- What is Kayla Lane-Illescas's NPI number?
- Kayla Lane-Illescas's National Provider Identifier (NPI) is 1790575769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kayla Lane-Illescas's specialty?
- Kayla Lane-Illescas is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Kayla Lane-Illescas located?
- Kayla Lane-Illescas's practice location on file with NPPES is 12165 Elm St, Princess Anne, MD 21853-1358.
- What is Kayla Lane-Illescas's phone number?
- The practice phone number listed in the NPPES registry for Kayla Lane-Illescas is (410) 651-5151.
- Is Kayla Lane-Illescas's NPI active?
- Yes — Kayla Lane-Illescas's NPI (1790575769) is active in the NPPES registry as of the last update on 2025-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.