Dr Kyle Gresham, DDS is a
Dentist - General Practice based in Arcadia, Louisiana. Dr Kyle Gresham is licensed to practice in Louisiana (license number 7189) and his current practice location is
1416 Hazel St, Arcadia, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 855-1426.
NPI number for Dr Kyle Gresham is 1134793680 and his current mailing address is 407 Lakefront Dr, West Monroe, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134793680.
Healthcare Provider's Profile
Full Name | Dr Kyle Gresham |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1416 Hazel St, Arcadia, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134793680
- Provider Enumeration Date: 05/19/2021
- Last Update Date: 05/19/2021
Medical Identifiers
Medical identifiers for Dr Kyle Gresham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134793680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 7189 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Gresham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kyle Gresham, DDS 407 Lakefront Dr, West Monroe, LA 71291-9043 Ph: (318) 376-5657 | Dr Kyle Gresham, DDS 1416 Hazel St, Arcadia, LA 71001-4114 Ph: (318) 855-1426 |
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