Provider Demographics
NPI:1801358932
Name:KYLE GRINDLING DDS PC
Entity Type:Organization
Organization Name:KYLE GRINDLING DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRINDLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-467-7627
Mailing Address - Street 1:3709 AUBURN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3324
Mailing Address - Country:US
Mailing Address - Phone:248-852-8766
Mailing Address - Fax:248-852-1813
Practice Address - Street 1:3709 AUBURN RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3324
Practice Address - Country:US
Practice Address - Phone:248-852-8766
Practice Address - Fax:248-852-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-06
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty