Tyka L Brannan is a Dental Assistant in Kelso, Washington. Tyka L Brannan practices all healthcare services and medical treatments related to Dental Assistant. The NPI Number for Tyka L Brannan is 1760595193. The last update date is 2007-07-08.
Tyka L Brannan's current location address is 305 Cowlitz Way, Kelso, Washington. You can contact this provider via phone number 3605713139. The mailing address for Tyka L Brannan is 305 Cowlitz Way, Kelso, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyka L Brannan |
|---|---|
| Address | 305 Cowlitz Way, Kelso, Washington |
| Phone Number | 3605713139 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTDA ASSIS |
NPI Number Detail
| NPI Number | 1760595193 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 305 Cowlitz Way |
|---|---|
| City | Kelso |
| State | Washington (WA) |
| Post Code | 986264109 |
| Phone Number | 3605713139 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Assistant |
|---|---|
| Taxonomy | 126800000X |
| Licence No | 764 |
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Definition: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. Th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 764 | WA | PTDA ASSISTANT @KP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tyka L Brannan by the Centers for Medicare & Medicaid Services?
The Tyka L Brannan has been issued the NPI (National Provider Identifier) 1760595193 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Tyka L Brannan is geographically located?
The Tyka L Brannan is physically situated at the following location: 305 Cowlitz Way, Kelso, WA, 986264109.
What is Tyka L Brannan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tyka L Brannan's area of specialization is Dental Assistant, and the corresponding taxonomy code that categorizes this field of practice is 126800000X.
When did the Tyka L Brannan receive its 1760595193?
The Tyka L Brannan was issued its 1760595193 on 2006-08-17, which is the date when the organization was assigned this unique identifier.
When was the information related to Tyka L Brannan most recently updated or refreshed?
The details pertaining to the Tyka L Brannan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.