Kyle Edward Detavernier, DDS

Dentist · West Chester, OH

Individual Active NPI

NPI number 1508411653

Practice location

5900 W Chester Rd Ste a
West Chester, OH 45069-2951
Phone
(513) 942-8181

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NPI record

NPI
1508411653
Entity type
Individual (Type 1)
Enumeration date
August 6, 2019
Last updated
August 6, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 30.025935 OH
Dentist 122300000X 2901600250 MI

Mailing address

11463 Arrowhead Dr
South Lyon, MI 48178-9541
Phone
(248) 921-2484

About Dr. Detavernier

Kyle Edward Detavernier, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5900 W Chester Rd Ste a, West Chester, OH 45069-2951. The NPI number 1508411653 was assigned on August 6, 2019 and the record was last updated on August 6, 2019.

Dr. Detavernier lists 2 licenses in the registry: #30.025935 (OH) for Dentist; #2901600250 (MI) 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 Edward Detavernier, DDS?

The NPI number is 1508411653.

What is the phone number of Dr. Detavernier?

The phone number listed for the practice location is (513) 942-8181.

Where is Dr. Detavernier located?

5900 W Chester Rd Ste a, West Chester, OH 45069-2951.

What is the taxonomy code for Dr. Detavernier?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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