Smith, Kyle Russel

Smith, Kyle Russel is an individual health care provider with primary practice located at 7270 Forestview Ln N #250, Maple Grove MN 55369-5546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Smith, Kyle Russel can be contacted via phone (763) 424-9202.

Contact Information

Primary practice address
7270 Forestview Ln N #250 Maple Grove MN 55369-5546
Phone: (763) 424-9202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D13412 Minnesota

Profile Details

NPI number 1437562329
LBN Legal business name Smith, Kyle Russel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Dec 7th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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