Provider Demographics
NPI:1881487858
Name:KYLE N BORTON DDS PLLC
Entity type:Organization
Organization Name:KYLE N BORTON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:BORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:734-845-4322
Mailing Address - Street 1:57302 FAIRCREST DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-3055
Mailing Address - Country:US
Mailing Address - Phone:734-845-4322
Mailing Address - Fax:
Practice Address - Street 1:54286 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316
Practice Address - Country:US
Practice Address - Phone:248-601-6320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental