Provider Demographics
NPI:1821205485
Name:RICHARD GREGORY PYLE D.D.S., P.C.
Entity Type:Organization
Organization Name:RICHARD GREGORY PYLE D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:PYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-288-6121
Mailing Address - Street 1:800 W UNIVERSITY AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-3863
Mailing Address - Country:US
Mailing Address - Phone:765-288-6121
Mailing Address - Fax:765-282-8706
Practice Address - Street 1:800 W UNIVERSITY AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3863
Practice Address - Country:US
Practice Address - Phone:765-288-6121
Practice Address - Fax:765-282-8706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009262261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental