Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982993267 Individual Practitioner Male Practitioner

Dr. Kyle M Shull , DDS

Dentist • Columbia, MO

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Shull, DDS is a registered healthcare professional specializing in Dentist in Columbia, MO. Practice services are available at 2601 RANGE LINE ST STE 111 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2601 Range Line St Ste 111

Columbia, MO 65202

Telephone 5733555870
Fax 5733555887

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
57 Specialists

Practicing in Columbia, MO (1740 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2011016320

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

3400 W Truman Blvd

Jefferson City, MO 651095712

Phone: 5736322777

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1346925351

Doctor of Dental Surgery

Erin Goode

Dentist

NPI 1952233140

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 04, 2019

Registered at 2601 RANGE LINE ST STE 111, COLUMBIA, MO 65202 (Tel: 5733555870)

📍
Updated Business Mailing Address October 04, 2019

Registered at 2601 RANGE LINE ST STE 111, COLUMBIA, MO 652021618 (Tel: 5733555870)

👤
Provider Name / Credentials Updated October 04, 2019

Recorded as KYLE SHULL, DDS

NPI Profile Active December 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2014

Registered at 3400 W TRUMAN BLVD, JEFFERSON CITY, MO 651095712 (Tel: 5736322777)

📍
Updated Business Mailing Address December 16, 2014

Registered at PO BOX 104780, JEFFERSON CITY, MO 651104780 (Tel: 5736322777)

👤
Provider Name / Credentials Updated December 16, 2014

Recorded as KYLE SHULL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2014

Dentist (License #2011016320 in MO)

🟢
Initial NPI Registration & Enumeration April 07, 2011

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: 1982993267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2011
Last Update: October 04, 2019
Sole Proprietor: No

Mailing Address

2601 Range Line St Ste 111

Columbia, MO 652021618

Phone: 5733555870

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.