Kyle Whitlock, DMD
Dentist in Marysville, CA. Individual provider (NPI-1).
NPI number1245127646
StatusActive
Last updated in NPPESJun 19, 2025
Details
- NPI
- 1245127646
- Entity type
- Individual (NPI-1)
- Name
- Kyle Whitlock
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2025
- Certification date
- Jun 19, 2025
- Last updated
- Jun 19, 2025
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 |
|---|---|---|---|---|
| 122300000X | Dentist | 30539 | FL | Yes |
Practice location
12139 Kimberly RdMarysville, CA 95901-9500
Phone 530-218-4167
Mailing address
12139 Kimberly RdMarysville, CA 95901-9500
Is something wrong?
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