DR. KYLE WHITESIDE DMD NPI 1467060533

NPI Information

  • NPI: 1467060533
  • Provider Name: DR. KYLE WHITESIDE, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 820 ARBUTUS AVE
    OCONTO, WI
    ZIP 54153
  • Phone: (920) 516-7107

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NPI Details

DR. Kyle Whiteside, DMD is a general practice dentist in Oconto, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Kyle Whiteside, DMD NPI is 1467060533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

820 ARBUTUS AVE
OCONTO, WI
ZIP 54153-004
Phone: (920) 516-7107

The enumeration date for this NPI number is 7/15/2020 and was last updated on 5/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice100236915WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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