Provider Demographics
NPI:1790097384
Name:MCSHAN, WILLIAM KYLE (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KYLE
Last Name:MCSHAN
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 1:1357 INTERSTATE DR
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-6184
Mailing Address - Country:US
Mailing Address - Phone:931-787-1277
Mailing Address - Fax:931-787-1257
Practice Address - Street 1:1357 INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-6184
Practice Address - Country:US
Practice Address - Phone:931-337-4447
Practice Address - Fax:931-787-1257
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty