Kyle Shull, DDS
NPI 1982993267 · on the registry since 2011
Practice
- Address
- 2601 Range Line St Ste 111
Columbia, MO 65202 - Phone
- (573) 355-5870
- Fax
- (573) 355-5887
- Clinicians at this address
- 3
Additional practice sites
- 3400 W Truman Blvd, Jefferson City, MO
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri