Provider Demographics
NPI:1407920671
Name:KYGER, TIMOTHY VIRGIL (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:VIRGIL
Last Name:KYGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1020
Mailing Address - Country:US
Mailing Address - Phone:740-446-7806
Mailing Address - Fax:740-446-7823
Practice Address - Street 1:126 2ND AVE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1020
Practice Address - Country:US
Practice Address - Phone:740-446-7806
Practice Address - Fax:740-446-7823
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0157731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice