Provider Demographics
NPI:1780723197
Name:DELBERT L. KYGER, DDS, MS, PC
Entity type:Organization
Organization Name:DELBERT L. KYGER, DDS, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KYGER
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-579-0903
Mailing Address - Street 1:8444 N ORACLE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6588
Mailing Address - Country:US
Mailing Address - Phone:520-579-0903
Mailing Address - Fax:520-579-2369
Practice Address - Street 1:8444 N ORACLE RD STE 130
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704
Practice Address - Country:US
Practice Address - Phone:520-579-0903
Practice Address - Fax:520-579-2369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46901223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty