Most Relevant Information
Provider Data
| NPI Number: | 1003506643 |
| Provider Name: | KYLE BENJAMIN BADER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 30.027112 |
Most Important Dates
| Enumeration Date: | 05/08/2023 |
| Last Updated: | 05/09/2023 |
Provider Practice Location
6441 WINCHESTER BLVD
CANAL WINCHESTER
OH
431102033
Practice Location Phone/Fax
| Phone: | 6148343455 |
| Fax: |
Provider Mailing Location
4712 BROOK RUN
SYLVANIA
OH
435609264
Provider Mailing Phone/Fax
| Phone: | 4194670994 |
| Fax: |