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General NPI Number Information
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NPI Number | 1417443276
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Entity Type | Individual
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Provider Name | KYLE THOMAS LANTZ DDS
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Gender | Male
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 516 W EISENHOWER BLVD
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City | LOVELAND
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State | CO
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Zip | 80537-3106
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Country | US
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Telephone | 970-232-3750
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Fax |
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Provider Business Mailing Address
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Address Line | 3744 S TIMBERLINE RD STE 101
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City | FORT COLLINS
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State | CO
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Zip | 80525-4334
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Country | US
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Telephone | 970-229-1404
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DRPM2601
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 00206279
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DD4933
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License Number State | NM
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