Kyle O'Connor, DDS

Dentist · Centralia, WA

Individual Active NPI

NPI number 1134735277

Practice location

2401 Borst Ave
Centralia, WA 98531-1411
Phone
(360) 736-1151

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NPI record

NPI
1134735277
Entity type
Individual (Type 1)
Enumeration date
September 22, 2020
Last updated
September 22, 2020
Certified
September 22, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE61085949 WA

Mailing address

132a Pleasant Hill Rd
Chehalis, WA 98532-9112
Phone
(360) 480-3759

About Dr. O'Connor

Kyle O'Connor, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2401 Borst Ave, Centralia, WA 98531-1411. The NPI number 1134735277 was assigned on September 22, 2020 and the record was last updated on September 22, 2020.

Dr. O'Connor lists a license in the registry: #DE61085949 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kyle O'Connor, DDS?

The NPI number is 1134735277.

What is the phone number of Dr. O'Connor?

The phone number listed for the practice location is (360) 736-1151.

Where is Dr. O'Connor located?

2401 Borst Ave, Centralia, WA 98531-1411.

What is the taxonomy code for Dr. O'Connor?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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