# DR. KYLE ANDREW LAND

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265962682
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 254 | NE | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 7798 | NE | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DDS-10041 | IA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | GA-0184 | IA | — |

## Other

- **Enumeration date:** 06/18/2017
- **Last updated:** 03/26/2024