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Contact Information

KYLE EWERT, DDS
307 S 8TH ST
SAINT MARIES, ID83861-1873
 Phone: 208-245-2548
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KYLE EWERT · (Male)

NPI # 1760735989
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/25/2012
Last updated 10/28/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 4463
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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