Provider Demographics
NPI:1295221877
Name:NIELD, KYLE RYCK (DDS)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:RYCK
Last Name:NIELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 OWINGS ST
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:SC
Mailing Address - Zip Code:29360
Mailing Address - Country:US
Mailing Address - Phone:540-629-0302
Mailing Address - Fax:540-639-9205
Practice Address - Street 1:310 OWINGS ST
Practice Address - Street 2:
Practice Address - City:LAURENS
Practice Address - State:SC
Practice Address - Zip Code:29360
Practice Address - Country:US
Practice Address - Phone:540-629-0302
Practice Address - Fax:540-639-9205
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC103371223G0001X
VA04014161541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice