Kyle Humphrey

Dentist, General Practice in Spring Hill, TN. Individual provider (NPI-1).

NPI number1003468232

StatusActive

Last updated in NPPESFeb 8, 2024

Details

NPI: 1003468232
Entity type: Individual (NPI-1)
Name: Kyle Humphrey
Sex: Male
Sole proprietor: No
Enumeration date: Jul 9, 2019
Certification date: Feb 8, 2024
Last updated: Feb 8, 2024

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223G0001X	Dentist, General Practice	11071	TN	Yes

Practice location

220 Town Center Pkwy Ste 130
Spring Hill, TN 37174-4408

Phone 314-860-0700

Mailing address

220 Town Center Pkwy
Spring Hill, TN 37174-4407

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Spring Hill, TN

All 27 General Practice Dentistry providers in Spring Hill · All 650 providers in Spring Hill

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