KYLE L. SERFOSS, DDS, PLLC
NPI 1619155371
Dentist - General Practice in Clinton, OK

Active since February 05, 2008
810 W GARY BLVD, CLINTON, OK 73601(580) 323-0763(580) 323-5532 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyle L. Serfoss, Dds, Pllc NPPES

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

KYLE L. SERFOSS, DDS, PLLC (NPI 1619155371) is a healthcare organization registered as a general practice in Clinton, Oklahoma and active in the NPI registry since February 2008. The organization lists Kyle Landon Serfoss, Dentist, as its authorized official.

NPPES Registry Identity

NPI1619155371
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKYLE L. SERFOSS, DDS, PLLC
Location Address810 W GARY BLVDClinton, OK 73601-2720
Mailing Address810 W Gary BlvdClinton, OK 73601-2720 · (580) 323-0763 · Fax (580) 323-5532
Fax(580) 323-5532
Organization SubpartNo
Authorized OfficialKyle Landon SerfossDentist · (580) 323-0763
Enumeration DateFebruary 5, 2008
NPI 1619155371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 5881
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

810 W GARY BLVD, Clinton, OK 73601

Other Identifiers 1

Medicaid200090120AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
810 W GARY BLVD
CLINTON, OK 73601
Dentist (General Practice)
810 W GARY BLVD
CLINTON, OK 73601
Dentist (General Practice)
810 W GARY BLVD
CLINTON, OK 73601

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 L. Serfoss, Dds, PLLC's NPI number?

The NPI number for Kyle L. Serfoss, Dds, PLLC is 1619155371. It was assigned to this organization in the NPPES registry on February 5, 2008.

Where is Kyle L. Serfoss, Dds, PLLC located?

Kyle L. Serfoss, Dds, PLLC is located at 810 W Gary Blvd, Clinton, OK 73601. The listed phone number is (580) 323-0763.

What is Kyle L. Serfoss, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kyle L. Serfoss, Dds, PLLC was last updated on February 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.