Individual
DR. BILLY JASON KYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Mailing address
345 E 24TH ST # 2S, NEW YORK, NY 10010-4020
(212) 998-9743
(212) 995-4767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN013833
GA
1223G0001X
General Practice Dentistry
Primary
3362
AR
1223P0106X
Oral and Maxillofacial Pathology Dentistry
060784
NY
Other
Enumeration date
06/13/2005
Last updated
05/13/2026
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