Kyle Denton
Individual provider Active NPI Dentist · La Grange, NC
NPI 1003406752 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1003406752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12121 (NC)
- Practice address
- 515 S Caswell St
La Grange, NC 28551-2005 - Phone
- (252) 566-9616
- NPI assigned
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12121 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates Xlvii DDS PA | Dentist | Current |
Accepting new patients |
| Dr. Kent S. Denton | Single Specialty | Past |
Accepting new patients |
Locations
515 S Caswell St
La Grange, NC 28551
Phone (252) 566-9616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12121 | NC | Yes |
Addresses
Primary practice location
515 S Caswell St
La Grange, NC 28551-2005
Mailing address
PO Box 8
La Grange, NC 28551-0008
Phone (252) 566-9616
Other providers in La Grange, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.