| Kyle Hollis, Dmd Of Ruston, Llc | |
|
303 W Alabama Ave Ruston LA 71270-4265 | |
| (318) 255-8648 | |
| Not Available |
| Full Name | Kyle Hollis, Dmd Of Ruston, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303 W Alabama Ave, Ruston, Louisiana |
| Authorized Official Name and Position | Casey Castle (DIRECTOR OF PAYOR CONTRACTS) |
| Authorized Official Contact | 9127321504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Hollis, Dmd Of Ruston, Llc 303 W Alabama Ave Ruston LA 71270-4265 Ph: () - | Kyle Hollis, Dmd Of Ruston, Llc 303 W Alabama Ave Ruston LA 71270-4265 Ph: (318) 255-8648 |
| NPI Number | 1700673217 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700673217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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