Search › Maryland › 1223P0221X
Kayla Lane-Illescas, DDS
NPI 1790575769 · on the registry since 2025
Practice
- Address
- 12165 Elm St
Princess Anne, MD 21853 - Phone
- (410) 651-5151
- Fax
- (410) 651-4256
- Organisation at this address
- Three Lower Counties Community Services, Inc.
Three Lower Counties Community Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 390200000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland