Organization
KYGER DENTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY VIRGIL KYGER D.D.S. (OWNER)
(740) 446-7806
Entity
Organization
Contact information
Practice address
878 JACKSON PIKE, GALLIPOLIS, OH 45631-1391
(740) 446-7806
(740) 446-4840
Mailing address
878 JACKSON PIKE, GALLIPOLIS, OH 45631-1391
(740) 446-7806
(740) 446-4840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30015773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010551336
TAX ID
OH
01
—
010551367
TAX ID
OH
Enumeration date
01/31/2017
Last updated
01/31/2017
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