Dr. Kayla Lane-illescas is a Princess Anne, Maryland based Dentist who is specialized in
Dentist. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kayla Lane-illescas is
18809 for Pediatric Dentistry in Maryland. Her current practice location is
12165 Elm St, Princess Anne. Patients can reach her at
410-651-5151.
Dr. Kayla Lane-illescas is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kayla Lane-illescas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Kayla Lane-illescas |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12165 Elm St, Princess Anne,
Maryland, 21853-1358 |
| Phone: | 410-651-5151 |
| Fax: | 410-651-4256 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1790575769 |
| NPI Enumeration Date: | 12 May, 2025 |
| NPI Last Update On: | 25 Jun, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kayla Lane-illescas are as mentioned below.
| License Number | Specialization | State | Status | |
| 18809 | Pediatric Dentistry | Maryland | Primary | |
| Student in an Organized Health Care Education/Training Program | Maryland | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kayla Lane-illescas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 119591300 | Medicaid | Maryland | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1978,
Salisbury, Maryland |
| Zip: | 21802-1978 |
| Phone Number: | 410-749-1015 |
| Fax Number: | 410-749-0654 |
Patients can reach Dr. Kayla Lane-illescas at
12165 Elm St, Princess Anne, Maryland or can
call to book an appointment on 410-651-5151.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.