Kyle Scott, DDS
Individual provider Active NPI General Practice Dentistry · Bicknell, IN
NPI 1578092292 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1578092292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12012697A (IN)
- Practice address
- 302 Washington St
Bicknell, IN 47512-1812 - Phone
- (812) 735-2754
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 12012697A | IN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012697A | IN | Yes |
Addresses
Primary practice location
302 Washington St
Bicknell, IN 47512-1812
Mailing address
302 Washington St
Bicknell, IN 47512-1812
Phone (812) 735-2754
Other providers in Bicknell, IN
- Knox County Association for Retarded Citizens, Inc.
- North Knox School Corporation
- Elaine Pepmeier
- Paul D Ranney Jr.
- D Craig Scott
- Carter Joe Shaw
- Steel Magnolia Counseling LLC
- Stephen K Williams DDS PC
- Jennifer Kaye Thais
All providers in Bicknell, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.