Green, Tyler S

Green, Tyler S is an sole proprietor health care provider with primary practice located at 2401 W Dolarway Rd , Ellensburg WA 98926-9309. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Green, Tyler S can be contacted via phone (509) 925-6553.

Contact Information

Primary practice address
2401 W Dolarway Rd Ellensburg WA 98926-9309
Phone: (509) 925-6553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60022722 Washington

Profile Details

NPI number 1396992178
LBN Legal business name Green, Tyler S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2008
Last updated Aug 22nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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