Kenneth K Tyer is a General Practice in Conroe, Texas. Kenneth K Tyer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth K Tyer is 1609883396. The last update date is 2007-07-08.
Kenneth K Tyer's current location address is 2121 Timberlane St Ste A, Conroe, Texas. You can contact this provider via phone number 9367561443 and fax number 9367561406. The mailing address for Kenneth K Tyer is 2121 Timberlane St Ste A, Conroe, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth K Tyer |
|---|---|
| Address | 2121 Timberlane St Ste A, Conroe, Texas |
| Phone Number | 9367561443 |
| Fax Number | 9367561406 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1609883396 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2121 Timberlane St Ste A |
|---|---|
| City | Conroe |
| State | Texas (TX) |
| Post Code | 773011106 |
| Phone Number | 9367561443 |
| Fax Number | 9367561406 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6762 |
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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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What is the unique 10-digit identifier code assigned to Kenneth K Tyer by the Centers for Medicare & Medicaid Services?
The Kenneth K Tyer has been issued the NPI (National Provider Identifier) 1609883396 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kenneth K Tyer located?
The Kenneth K Tyer is located at 2121 Timberlane St Ste A, Conroe, TX 773011106.
What is Kenneth K Tyer's area of expertise and its corresponding taxonomy classification?
The Kenneth K Tyer's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609883396 to Kenneth K Tyer?
The Centers for Medicare & Medicaid Services originally issued the 1609883396 to Kenneth K Tyer on 2006-08-02.
As of what date were the details related to Kenneth K Tyer most recently updated or revised?
The information pertaining to Kenneth K Tyer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.