Individual provider · Type 1 NPI

Roger Dale Kilcoyne, DDS

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1386961233 Active

Practice location

364 Garland St
Memphis, TN 38104-7129

Call (901) 574-2402 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
General Practice Dentistry 1223G0001X10159 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386961233

Roger Dale Kilcoyne, DDS's National Provider Identifier is 1386961233, issued on Apr 30, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on May 3, 2010.