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Dan Kaylor — NPI 1063967537, College Place, WA | NPI Central

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NPI 1063967537

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Dan Kaylor

NPI 1063967537 · Preferred Provider Organization · College Place, WA

Provider details

NPI number: 1063967537
Entity type: Organization
Primary specialty: Preferred Provider OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Dan Kaylor, Owner/Dentist(509) 525-4177
License: DE00005718 (WA)

Specialties & taxonomies

Preferred Provider OrganizationPrimary305R00000XLicense DE00005718 (WA)
Managed Care Organizations

Practice location

100 N College Ave

College Place, WA 99324-1015

Phone: (509) 525-4177

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

100 N College Ave

College Place, WA 99324-1015

Other names (DBA / former)

Doing business as: Dan Kaylor

Registry dates

Enumerated: 2016-08-24
Last updated: 2016-08-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.