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KYLE NOVOTNY DDS PLLC NPI 1255044723


NPI Information

NPI: 1255044723
Provider Name: KYLE NOVOTNY DDS PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12265 CENTRAL AVE NE
BLAINE, MN
ZIP 55434
Phone: (763) 757-1323
Get Directions

KYLE NOVOTNY DDS PLLC is a general practice dentist in Blaine, MN. 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. KYLE NOVOTNY DDS PLLC NPI is 1255044723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12265 CENTRAL AVE NE
BLAINE, MN
ZIP 55434-961
Phone: (763) 757-1323
Fax: (763) 757-1037

The provider's authorized official is Kyle Stephen Novotny .
The authorized official title is Owner and has the following contact phone number (763) 757-1323.

The enumeration date for this NPI number is 12/29/2022 and was last updated on 12/29/2022.


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 PracticeYes

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: 5/5/2024

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