Individual
KYLE SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98 SOUTH 100 EAST, SUITE B, FOWLER, IN 47944-0456
(765) 884-0018
(765) 884-0019
Mailing address
98 SOUTH 100 EAST, SUITE B, FOWLER, IN 47944
(765) 884-0018
(765) 884-0019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011673B
IN
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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