Tyler Jensen Hendry in Glendale - Periodontics
Tyler Jensen Hendry - NPI 1285897660
Tyler Jensen Hendry is a Periodontics in Glendale, California. Tyler Jensen Hendry practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Tyler Jensen Hendry is 1285897660. The last update date is 2008-07-07.
Tyler Jensen Hendry's current location address is 411 N Central Ave, Glendale, California. You can contact this provider via phone number 8182404555. The mailing address for Tyler Jensen Hendry is 411 N Central Ave, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyler Jensen Hendry |
|---|---|
| Address | 411 N Central Ave, Glendale, California |
| Phone Number | 8182404555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1285897660 |
|---|---|
| Provider Enumeration Date | 2008-07-07 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 411 N Central Ave |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912032081 |
| Phone Number | 8182404555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 55384 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508873167 | CA | -- |
Post Comment/ Review Below
What is the Tyler Jensen Hendry's 1285897660?
The Tyler Jensen Hendry's NPI (National Provider Identifier) Number is 1285897660. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tyler Jensen Hendry is physically located?
The Tyler Jensen Hendry is physically situated at the following address: 411 N Central Ave, Glendale, CA, 912032081.
What is the area of specialization for Tyler Jensen Hendry, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tyler Jensen Hendry is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
When did Tyler Jensen Hendry receive its 1285897660 assignment?
The Tyler Jensen Hendry was assigned its 1285897660 on 2008-07-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Tyler Jensen Hendry last refreshed?
The information related to the Tyler Jensen Hendry, including its address, specialty, and other relevant details, was last updated on 2008-07-07.
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