IndividualActive
Kyle Proctor, DDS
NPI 1811720162 · Dentist · Sonora, CA
Kyle Proctor, DDS is a Dentist provider in Sonora, CA (NPI 1811720162).
Provider details
- NPI number
- 1811720162
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 110631 (CA)
Practice location
940 Sylva Ln Ste K2
Sonora, CA 95370-5969
Phone: (209) 536-8600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 535
Jamestown, CA 95327-0535
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2024-08-22
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.