Tyler Lee Pendergrass in Amarillo - Dentist

Tyler Lee Pendergrass - NPI 1649449786

Tyler Lee Pendergrass is a Dentist in Amarillo, Texas. Tyler Lee Pendergrass practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tyler Lee Pendergrass is 1649449786. The last update date is 2008-02-22.

Tyler Lee Pendergrass's current location address is 6020 Belpree Rd, Amarillo, Texas. You can contact this provider via phone number 8063588801 and fax number 8063588894. The mailing address for Tyler Lee Pendergrass is 6020 Belpree Rd, Amarillo, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyler Lee Pendergrass
Address 6020 Belpree Rd, Amarillo, Texas
Phone Number 8063588801
Fax Number 8063588894
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1649449786
Provider Enumeration Date 2008-02-22
Last Updated Date 2008-02-22

Provider Mailing Address Detail

Address 6020 Belpree Rd
City Amarillo
State Texas (TX)
Post Code 791063333
Phone Number 8063588801
Fax Number 8063588894

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19725
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Tyler Lee Pendergrass

What is the unique 10-digit identification code assigned to Tyler Lee Pendergrass by the Centers for Medicare & Medicaid Services?

The Tyler Lee Pendergrass has been issued the NPI (National Provider Identifier) 1649449786, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Tyler Lee Pendergrass is physically located?

The Tyler Lee Pendergrass is physically situated at the following address: 6020 Belpree Rd, Amarillo, TX, 791063333.

What is Tyler Lee Pendergrass's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tyler Lee Pendergrass is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1649449786 to Tyler Lee Pendergrass?

The Centers for Medicare & Medicaid Services assigned the 1649449786 to Tyler Lee Pendergrass on 2008-02-22.

When was the information regarding Tyler Lee Pendergrass, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Tyler Lee Pendergrass, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-22.

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