Phillip Alan Tyndall in Ponca City - General Practice
Phillip Alan Tyndall - NPI 1477540813
Phillip Alan Tyndall is a General Practice in Ponca City, Oklahoma. Phillip Alan Tyndall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phillip Alan Tyndall is 1477540813. The last update date is 2008-04-24.
Phillip Alan Tyndall's current location address is 415 E Hartford Ave, Ponca City, Oklahoma. You can contact this provider via phone number 5807627857 and fax number 5807622788. The mailing address for Phillip Alan Tyndall is 415 E Hartford Ave, Ponca City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Alan Tyndall |
|---|---|
| Address | 415 E Hartford Ave, Ponca City, Oklahoma |
| Phone Number | 5807627857 |
| Fax Number | 5807622788 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477540813 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
| Address | 415 E Hartford Ave |
|---|---|
| City | Ponca City |
| State | Oklahoma (OK) |
| Post Code | 746011512 |
| Phone Number | 5807627857 |
| Fax Number | 5807622788 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5342 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100126460A | OK | -- |
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What is the Phillip Alan Tyndall's unique identification number?
The Phillip Alan Tyndall has been assigned the NPI (National Provider Identifier) Number 1477540813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Phillip Alan Tyndall located?
The Phillip Alan Tyndall is located at 415 E Hartford Ave, Ponca City, OK 746011512.
What is Phillip Alan Tyndall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phillip Alan Tyndall is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Phillip Alan Tyndall receive its 1477540813 assignment from the Centers for Medicare & Medicaid Services?
The Phillip Alan Tyndall was assigned its 1477540813 on 2005-09-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Phillip Alan Tyndall most recently updated or revised?
The details related to Phillip Alan Tyndall, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-24.
NPI Number: 1376546309
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