Hendry, Tyler Jensen

Hendry, Tyler Jensen is an individual health care provider with primary practice located at 411 N Central Ave Suite 220, Glendale CA 91203-2081. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Hendry, Tyler Jensen can be contacted via phone (818) 240-4555.

Contact Information

Primary practice address
411 N Central Ave Suite 220 Glendale CA 91203-2081
Phone: (818) 240-4555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 55384 California

Profile Details

NPI number 1285897660
LBN Legal business name Hendry, Tyler Jensen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2008
Last updated Jul 7th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285897660 NPPES
California MEDICAID 1508873167

Popular Providers