Individual
DR. KYLE NATHANIEL BERRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10250
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10250
TN
171000000X
Military Health Care Provider
10250
TN
Other
Enumeration date
07/20/2016
Last updated
07/05/2026
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