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KYLE KLOOSTER MD, DDS
NPI 1053608752
Dentist - Oral and Maxillofacial Surgery in Detroit, MI

Active since July 01, 2011Opted out of Medicare · through Sep 11, 2026
7633 E JEFFERSON AVE, SUITE 70, DETROIT, MI 48214(313) 499-4775(313) 499-4953 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Klooster Md, Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE KLOOSTER MD, DDS (NPI 1053608752) is an individual oral and maxillofacial surgery provider in Detroit, Michigan, licensed in Michigan (2901020443) and active in the NPI registry since July 2011. He has opted out of Medicare through September 11, 2026.

NPPES Registry Identity

NPI1053608752
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameKYLE KLOOSTERCredential: MD, DDS
Location Address7633 E JEFFERSON AVE, SUITE 70Detroit, MI 48214-3730
Mailing Address7633 E Jefferson Ave, Suite 70Detroit, MI 48214-3730 · (313) 499-4775 · Fax (313) 499-4953
Phone(313) 499-4775
Fax(313) 499-4953
Sole ProprietorYes
Enumeration DateJuly 1, 2011
Last NPPES UpdateMarch 29, 2016
✔ NPI 1053608752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901020443
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
7633 E JEFFERSON AVE, Detroit, MI 48214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kyle Klooster Md, Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2024 through September 11, 2026.

Opt-Out Effective DateSeptember 11, 2024
Opt-Out In Effect ThroughSeptember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAZZI PODIATRY
Podiatrist (Foot & Ankle Surgery)
7633 E JEFFERSON AVE, SUITE 250
DETROIT, MI 48214
Wayne County (313) 821-3338
MATTHEW CANNAVO D.M.D
Dentist (Oral and Maxillofacial Surgery)
7633 E JEFFERSON AVE, SUITE 70
DETROIT, MI 48214
Wayne County (313) 499-4775
DR. MOHAMMED BAZZI D.P.M
Podiatrist (Foot & Ankle Surgery)
7633 E JEFFERSON AVE, STE 250
DETROIT, MI 48214
Wayne County (313) 821-3338
DR. PRINCESS ELHOSARY DMD
Dentist
7633 E JEFFERSON AVE, SUITE 70
DETROIT, MI 48214
Wayne County (313) 499-4775
DR. STANLEY B COHEN DPM
Podiatrist (Foot & Ankle Surgery)
7633 E JEFFERSON AVE, 250
DETROIT, MI 48214
Wayne County (313) 821-3338
DR. JAMES ARTHUR MULLER II MD, DDS
Dentist (Oral and Maxillofacial Surgery)
7633 E JEFFERSON AVE, SUITE 70
DETROIT, MI 48214
Wayne County (313) 499-4775
DR. EIAD KSEIBI M.D.
Internal Medicine (Critical Care Medicine)
7633 E JEFFERSON AVE, SUITE 360
DETROIT, MI 48214
Wayne County (313) 499-4985
DR. CHASE AARON DDS
Dentist
7633 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Klooster's NPI number?

The NPI number for Kyle Klooster is 1053608752. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Kyle Klooster located?

Kyle Klooster practices at 7633 E Jefferson Ave Suite 70, Detroit, MI 48214. The listed phone number is (313) 499-4775.

What is Kyle Klooster's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kyle Klooster enrolled in Medicare?

No. Kyle Klooster has opted out of Medicare through September 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kyle Klooster accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kyle Klooster as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Klooster was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.