Kyle Proctor, DDS

Dentist · Sonora, CA

Individual Active NPI

NPI number 1811720162

Practice location

940 Sylva Ln Ste K2
Sonora, CA 95370-5969
Phone
(209) 536-8600

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NPI record

NPI
1811720162
Entity type
Individual (Type 1)
Enumeration date
August 22, 2024
Last updated
August 22, 2024
Certified
June 24, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 110631 CA

Mailing address

PO Box 535
Jamestown, CA 95327-0535
Phone
(209) 984-4820

Other practice locations (1)

  • 18144 Seco St, Jamestown, CA 95327-9498 · (209) 984-4820

About Dr. Proctor

Kyle Proctor, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 940 Sylva Ln Ste K2, Sonora, CA 95370-5969. The NPI number 1811720162 was assigned on August 22, 2024 and the record was last updated on August 22, 2024.

Dr. Proctor lists a license in the registry: #110631 (CA) 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 Proctor, DDS?

The NPI number is 1811720162.

What is the phone number of Dr. Proctor?

The phone number listed for the practice location is (209) 536-8600.

Where is Dr. Proctor located?

940 Sylva Ln Ste K2, Sonora, CA 95370-5969.

What is the taxonomy code for Dr. Proctor?

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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