DR. KYLE BRUCE VAN BROCKLIN D.M.D., M.S.
NPI 1659454015
Dentist - Oral and Maxillofacial Surgery in San Ramon, CA

Q: What is Kyle Van Brocklin's NPI number?

The NPI number for Kyle Van Brocklin is 1659454015. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Q: What is Kyle Van Brocklin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Van Brocklin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 21, 2006

525 BOLLINGER CANYON WAY STE 101, SAN RAMON, CA 94582(925) 735-8707 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Kyle Bruce Van Brocklin D.m.d., M.s. NPPES

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

DR. KYLE BRUCE VAN BROCKLIN D.M.D., M.S. (NPI 1659454015) is an individual oral and maxillofacial surgery provider in San Ramon, California, licensed in California (37177) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1659454015

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. KYLE BRUCE VAN BROCKLINCredential: D.M.D., M.S.

Location Address525 BOLLINGER CANYON WAY STE 101San Ramon, CA 94582-4935

Mailing Address525 Bollinger Canyon Way Ste 101San Ramon, CA 94582-4935 · (925) 735-8707

Phone(925) 735-8707

Sole ProprietorYes

Enumeration DateOctober 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659454015 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 CA · 37177

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.

525 BOLLINGER CANYON WAY STE 101, San Ramon, CA 94582

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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 Van Brocklin's NPI number?

The NPI number for Kyle Van Brocklin is 1659454015. It was assigned to this individual provider in the NPPES registry on October 21, 2006.

Where is Kyle Van Brocklin located?

Kyle Van Brocklin practices at 525 Bollinger Canyon Way Ste 101, San Ramon, CA 94582. The listed phone number is (925) 735-8707.

What is Kyle Van Brocklin's specialty?

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

When was this NPI record last updated?

The NPPES record for Kyle Van Brocklin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.