MEDICARE: DR. KYLE ANDREW MCCASKEY DDS, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	DN21659	FL

General Provider Information

NPI Number	:	1154688521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KYLE ANDREW MCCASKEY DDS, MD

Provider Business Mailing Address
First Line	:	410 N PLANT AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-7248
Country	:	US
Telephone Number	:	813-755-9102
Fax Number	:

Provider Business Practice Location Address
First Line	:	25400 US HIGHWAY 19 N STE 122
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33763-2143
Country	:	US
Telephone Number	:	727-669-6411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	03/06/2026

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