Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE EWERT, DDS
Active Sole ProprietorDR. KYLE EWERT, DDS is a Dentist healthcare provider located in ST MARIES, Idaho. NPI 1760735989 is currently active in the NPPES registry. Verify at CMS.
Dentist · ST MARIES, ID
Registration Details
- NPI Number
- 1760735989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2012 (13.628757507752 yrs)
- Last Updated
- Oct 28, 2014
- License
-
4463 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
307 S 8TH STST MARIES, ID, 838611873Browse ID providers · Browse ZIP 83861
- Phone
- 2082452548
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.