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KYLE WILBURN
NPI 1326675984
Dentist in Santa Rosa, CA

Active since March 24, 2020
4755 HOEN AVE, SANTA ROSA, CA 95405(707) 542-2881 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2021, Mar 24, 2020 (2 updates tracked since 2020).

About Kyle Wilburn NPPES

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

KYLE WILBURN (NPI 1326675984) is an individual dentist in Santa Rosa, California, licensed in California (106843) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1326675984
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKYLE WILBURN
Location Address4755 HOEN AVESanta Rosa, CA 95405-7862
Mailing Address4755 Hoen AveSanta Rosa, CA 95405-7862 · (707) 542-2881
Phone(707) 542-2881
Sole ProprietorYes
Enumeration DateMarch 24, 2020
Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1326675984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 106843
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4755 HOEN AVE, Santa Rosa, CA 95405
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Other Providers at the Same Location NPPES

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

DR. STEVEN CHARLES WILBURN DMD
Dentist (General Practice)
4755 HOEN AVE
SANTA ROSA, CA 95405
Sonoma County (707) 542-2881

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 Wilburn's NPI number?

The NPI number for Kyle Wilburn is 1326675984. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Kyle Wilburn located?

Kyle Wilburn practices at 4755 Hoen Ave, Santa Rosa, CA 95405. The listed phone number is (707) 542-2881.

What is Kyle Wilburn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kyle Wilburn was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.