Provider Demographics
NPI:1972984730
Name:KYGER, TIMOTHY (DMD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:KYGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13426 VIA VARRA
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-9759
Mailing Address - Country:US
Mailing Address - Phone:740-645-4396
Mailing Address - Fax:
Practice Address - Street 1:271 S DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-2432
Practice Address - Country:US
Practice Address - Phone:303-778-7707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.024524122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist