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

Kayla Michelle Fomin, OMT

Individual provider Dental Hygienist · NPI 1407575335

Kayla Michelle Fomin, OMT is a Dental Hygienist in Mt Holly, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
Specialties on file
3

Practice location Address checks out

136 Homeplace Dr
Mt Holly, NC 28120-9660
Phone: (803) 820-1607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Dental Hygienist Taxonomy 124Q00000X · Licence 11570 (NC)
Health & Wellness Coach Taxonomy 171400000X

Record details

NPI number1407575335
Entity typeIndividual (Type 1)
GenderFemale
Credentials OMT
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESAugust 24, 2022
Certification dateAugust 17, 2022