Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285030775 Individual Practitioner Male Practitioner

Dr. Kyle Libby , DMD

Dentist • Fort Drum, NY

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Libby, DMD is a registered healthcare professional specializing in Dentist in Fort Drum, NY. Practice services are available at 10590 ENDURING FREEDOM DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10590 Enduring Freedom Drive

Fort Drum, NY 136025005

Telephone 3157726234
Associated Practice Facility / Clinic
🏢 Guthrie Ahc Facility NPI 1740486091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Drum, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
31 Specialists

Practicing in Fort Drum, NY (6355 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 ME DEN4403

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.

Practice Associates & Co-Workers

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

35 Associated Practitioners
NPI 1033568720

DENTALASSISTANTEFDA

NPI 1073961702

DENTALHYGIENIST

Dr. Donald Cole , DDS

Dentist - General Practice

NPI 1104817113

Doctor of Dental Surgery

NPI 1114376803

DENTALASSISTANTEFDA

NPI 1144653320

Doctor of Dental Surgery

Dr. David Schneck , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1316920705

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2016

Registered at 10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 136025005 (Tel: 3157726234)

📍
Updated Business Mailing Address June 01, 2016

Registered at 10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 136025005 (Tel: 3157726234)

👤
Provider Name / Credentials Updated June 01, 2016

Recorded as KYLE LIBBY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2016

Dentist (License #DEN4403 in ME)

🟢
Initial NPI Registration & Enumeration November 10, 2014

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: 1285030775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2014
Last Update: June 01, 2016
Sole Proprietor: Yes

Mailing Address

10590 Enduring Freedom Drive

Fort Drum, NY 136025005

Phone: 3157726234

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.