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Active NPI 1811567498 Individual Practitioner Male Practitioner

Dr. Kyle Matthew Edmonds , DDS

Dentist - Pediatric Dentistry • Salem, MA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Edmonds, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Salem, MA. Practice services are available at 600 LORING HILLS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Loring Hills Ave
8

Salem, MA 01970

Telephone 9789100004
Associated Practice Facility / Clinic
🏢 Broad Smiles Llc Facility NPI 1831766211

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Salem, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Salem, MA (373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-09
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License MA DN1859792

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Secondary Practice Locations

6 Kimball Ln Ste 140

Lynnfield, MA 019402667

Phone: 7813348442

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 11, 2023

Registered at 600 LORING HILLS AVE, 8, SALEM, MA 01970 (Tel: 9789100004)

📍
Updated Business Mailing Address September 11, 2023

Registered at 78 KIRKLAND ST # 1, CAMBRIDGE, MA 021382033

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2023

Dentist (License #DN1859792 in MA)

NPI Profile Active July 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2021

Registered at 300 LONGWOOD AVE, DENTISTRY HU 421, BOSTON, MA 021155724 (Tel: 6173556571)

📍
Updated Business Mailing Address July 08, 2021

Registered at 1401 BEACON ST APT 702, BROOKLINE, MA 024464814

👤
Provider Name / Credentials Updated July 08, 2021

Recorded as KYLE EDMONDS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811567498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2021
Last Update: September 11, 2023
Sole Proprietor: No

Mailing Address

78 Kirkland St # 1

Cambridge, MA 021382033

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.