Most Relevant Information
Provider Data
| NPI Number: | 1003468232 |
| Provider Name: | KYLE HUMPHREY |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 11071 |
Most Important Dates
| Enumeration Date: | 07/09/2019 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
220 TOWN CENTER PKWY STE 130
SPRING HILL
TN
371744408
Practice Location Phone/Fax
| Phone: | 3148600700 |
| Fax: |
Provider Mailing Location
220 TOWN CENTER PKWY
SPRING HILL
TN
371744407
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |