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

Kyle Wilburn

Individual provider Dentist · NPI 1326675984

Kyle Wilburn is a Dentist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

4755 Hoen Ave
Santa Rosa, CA 95405-7862
Phone: (707) 542-2881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 106843 (CA)

Record details

NPI number1326675984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address4755 Hoen Ave, Santa Rosa, CA 95405-7862

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