Individual
DR. LAWRENCE JAMES KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
611 S MAIN ST, BLACKSBURG, VA 24060-5266
(540) 951-8383
(540) 953-5030
Mailing address
611 S MAIN ST, BLACKSBURG, VA 24060-5266
(540) 951-8383
(540) 953-5030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
401006217
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007820861
—
VA
01
—
013321
DORAL DENTAL
VA
01
—
49914
UNITED CONCORDIA
VA
01
—
6217
DELTA DENTAL
VA
Enumeration date
10/31/2006
Last updated
11/23/2011
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