Dr Kyle Gresham, DDS in Arcadia, LA - Dentist

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.

Contact Information

	Dr Kyle Gresham, DDS
	1416 Hazel St, Arcadia, LA 71001-4114
	(318) 855-1426
	Not Available

Healthcare Provider's Profile

Full Name	Dr Kyle Gresham
Gender	Male
Speciality	Dentist - General Practice
Location	1416 Hazel St, Arcadia, Louisiana
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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Dentist in Arcadia, LA

Mindi J Roberson,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1416 Hazel St, Arcadia, LA 71001
Phone: 318-855-1426

Dr Kyle Gresham, DDS - Dentist in Arcadia, LA