Provider Demographics
NPI:1821180944
Name:OYLER, KENYON L (DDS)
Entity Type:Individual
Prefix:
First Name:KENYON
Middle Name:L
Last Name:OYLER
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 1:12249 W MCMILLAN RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-0555
Mailing Address - Country:US
Mailing Address - Phone:208-322-0024
Mailing Address - Fax:208-375-5721
Practice Address - Street 1:12249 W MCMILLAN RD
Practice Address - Street 2:CONTENNTAL DENTAL CENTER
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-0555
Practice Address - Country:US
Practice Address - Phone:208-322-0024
Practice Address - Fax:208-375-5721
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD3327122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist