Kyle Aten, DMD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Janesville, WI
NPI 1760944987 · NPPES record last updated Mar 12, 2022
Key facts
- NPI
- 1760944987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 1002230-15 (WI)
- Practice address
- 2620 W Wall St
Janesville, WI 53548-3301 - Phone
- (608) 405-8345
- NPI assigned
- Apr 5, 2019
- 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 |
|---|---|---|---|
| 1002230-15 | WI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ac King Dental PLLC | Past | Accepting new patients | |
| King Dental Partners PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1002230-15 | WI | Yes |
Addresses
Primary practice location
2620 W Wall St
Janesville, WI 53548-3301
Mailing address
2620 W Wall St
Janesville, WI 53548-3301
Other practice location 1
692 Janesville St
Oregon, WI 53575-1605
Phone (608) 835-3777
Other providers in Janesville, WI
- Caitlyn Ashmus
- Becky Lynn Asleson
- Aspire Counseling, LLC
- Associates in Psychotherapy, LLC
- Kelly Renee Aten
- Emily Setz Atkins
- Au Courant Health Care, Inc.
- Cathy L Audorff
- Mary Augustian
- Aurora Pharmacy Inc
All providers in Janesville, WI · Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 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.