Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle Lisenby, DMD

Individual provider Dentist · NPI 1629248414

Dr. Kyle Lisenby, DMD is a Dentist in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

303 N Keene St Ste 208
Columbia, MO 65201-6623
Phone: (573) 571-2222
Fax: (573) 817-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2008006645 M (MO)

Record details

NPI number1629248414
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMarch 7, 2008
Last updated in NPPESMarch 7, 2008

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