Individual provider · Type 1 NPI

Kyle Klooster, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Detroit, MI

NPI number 1053608752 Active

Practice location

7633 E Jefferson Ave, Suite 70
Detroit, MI 48214-3730

Call (313) 499-4775 Map

Fax (313) 499-4953

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2901020443 (MI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1053608752

Kyle Klooster, MD, DDS's National Provider Identifier is 1053608752, issued on Jul 1, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Detroit, MI. The record was last updated on Mar 29, 2016.