Tyler Lee Clark in Eugene - Oral And Maxillofacial Surgery
Tyler Lee Clark - NPI 1578542361
Tyler Lee Clark is a Oral And Maxillofacial Surgery in Eugene, Oregon. Tyler Lee Clark practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Tyler Lee Clark is 1578542361. The last update date is 2016-01-11.
Tyler Lee Clark's current location address is 330 S Garden Way, Eugene, Oregon. You can contact this provider via phone number 5416869750 and fax number 5414855034. The mailing address for Tyler Lee Clark is 330 S Garden Way, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyler Lee Clark |
|---|---|
| Address | 330 S Garden Way, Eugene, Oregon |
| Phone Number | 5416869750 |
| Fax Number | 5414855034 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578542361 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2016-01-11 |
Provider Mailing Address Detail
| Address | 330 S Garden Way |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974018176 |
| Phone Number | 5416869750 |
| Fax Number | 5414855034 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D10177 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500684192 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tyler Lee Clark by the Centers for Medicare & Medicaid Services?
The Tyler Lee Clark has been assigned the NPI (National Provider Identifier) 1578542361 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tyler Lee Clark is located?
The Tyler Lee Clark is situated at the following address: 330 S Garden Way, Eugene, OR, 974018176.
What is Tyler Lee Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tyler Lee Clark is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
When was the Tyler Lee Clark's 1578542361 issued?
The Tyler Lee Clark's 1578542361 was issued on 2006-01-11.
When was the information regarding Tyler Lee Clark most recently updated?
The details pertaining to the Tyler Lee Clark, including its address, specialty, and other relevant information, were last refreshed on 2016-01-11.