Organization Active NPI

Kyle Hollis, DMD of Ruston, LLC

Doing business as Patrick Stuckey, DDS

  • Dental Clinic/Center
  • Ruston, LA
National Provider Identifier
1700673217
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KYLE HOLLIS, DMD OF RUSTON, LLC
Doing business as
Patrick Stuckey, DDS
Practice address
303 W Alabama Ave
Ruston, LA 71270-4265
Phone
(318) 255-8648
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Casey Castle
Title
Director of Payor Contracts
Phone
(912) 732-1504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

303 W Alabama Ave
Ruston, LA 71270-4265

Mailing address

303 W Alabama Ave
Ruston, LA 71270-4265

Other names 1

  • Patrick Stuckey, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

303 W Alabama Ave
Ruston, LA 71270
Phone (318) 255-8648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1700673217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W ALABAMA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W ALABAMA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704265",
            "telephone_number": "318-255-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE HOLLIS, DMD OF RUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTS",
        "authorized_official_telephone_number": "912-732-1504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Stuckey, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.