Individual provider · Type 1 NPI

Kyle Edward Detavernier, DDS

Dentist · West Chester, OH

NPI number 1508411653 Active

Practice location

5900 W Chester Rd Ste A
West Chester, OH 45069-2951

Mailing address

11463 Arrowhead Dr
South Lyon, MI 48178-9541

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901600250 (MI)
Dentist Primary 122300000X30.025935 (OH)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1508411653

Kyle Edward Detavernier, DDS's National Provider Identifier is 1508411653, issued on Aug 6, 2019. The primary taxonomy on file is Dentist (122300000X), and the practice location is in West Chester, OH. The record was last updated on Aug 6, 2019.