Carl Joseph Tyree in Highland - Pediatric Dentistry
Carl Joseph Tyree - NPI 1780772665
Carl Joseph Tyree is a Pediatric Dentistry in Highland, Indiana. Carl Joseph Tyree practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Carl Joseph Tyree is 1780772665. The last update date is 2022-09-01.
Carl Joseph Tyree's current location address is 2100 45th St, Highland, Indiana. You can contact this provider via phone number 2199244411 and fax number 2199242314. The mailing address for Carl Joseph Tyree is 2100 45th St, Highland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Joseph Tyree |
|---|---|
| Address | 2100 45th St, Highland, Indiana |
| Phone Number | 2199244411 |
| Fax Number | 2199242314 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1780772665 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2022-09-01 |
Provider Mailing Address Detail
| Address | 2100 45th St |
|---|---|
| City | Highland |
| State | Indiana (IN) |
| Post Code | 463223742 |
| Phone Number | 2199244411 |
| Fax Number | 2199242314 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12007389A |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100208100A | IN | -- | |
| 100208100B | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Carl Joseph Tyree by the Centers for Medicare & Medicaid Services?
The Carl Joseph Tyree has been issued the NPI (National Provider Identifier) 1780772665. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carl Joseph Tyree's physical address?
The Carl Joseph Tyree is physically located at 2100 45Th St, in the city of Highland, IN, with the postal code 463223742.
What is Carl Joseph Tyree's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carl Joseph Tyree is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780772665 to Carl Joseph Tyree?
The Centers for Medicare & Medicaid Services originally issued the 1780772665 to Carl Joseph Tyree on 2006-10-10.
When was the information regarding Carl Joseph Tyree, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carl Joseph Tyree, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-09-01.