Provider Demographics
NPI:1164639902
Name:AMSPAUGH, KYLE D (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:D
Last Name:AMSPAUGH
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 BAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8217
Mailing Address - Country:US
Mailing Address - Phone:419-581-2541
Mailing Address - Fax:
Practice Address - Street 1:1816 CHAPEL DR
Practice Address - Street 2:SUITE F
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1331
Practice Address - Country:US
Practice Address - Phone:567-525-4193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2010-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300221111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry