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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285897660 | NPPES |
| California | MEDICAID | 1508873167 |
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