Tylka, Thomas William

Tylka, Thomas William is an sole proprietor health care provider with primary practice located at 1400 State Route F , Waynesville MO 65583-2831. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tylka, Thomas William can be contacted via phone (573) 774-6101.

Contact Information

Primary practice address
1400 State Route F Waynesville MO 65583-2831
Phone: (573) 774-6101
Fax: (573) 774-6812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-018811 Illinois
Dental Providers / General Practice 1223G0001X 2005037081 Missouri

Profile Details

NPI number 1659357432
LBN Legal business name Tylka, Thomas William
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Oct 19th, 2011 - about 15 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 1659357432 NPPES
Missouri Other T135072040 DRIVER LICENSE

Popular Providers