Ettinger, Kyle S

Ettinger, Kyle S is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Ettinger, Kyle S can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Phone: (507) 284-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D13023 Minnesota
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X D13023 Minnesota
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 59378 Minnesota

Profile Details

NPI number 1881989234
LBN Legal business name Ettinger, Kyle S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Aug 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers