Tyack Dental Group

LBN: James H. Tyack Dmd Pc
Tyack Dental Group is an health care organization with primary practice located at 400 Sw Bel Air Dr , Clatskanie OR 97016. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. James H. Tyack Dmd Pc can be contacted via phone (503) 728-2114, or through Tyack, James Hal via phone (503) 728-2114.

Contact Information

Primary practice address
400 Sw Bel Air Dr Clatskanie OR 97016
Phone: (503) 728-2114
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tyack, James Hal Doctor of Dental Medicine (DMD)
Phone: (503) 728-2114

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D5226 Oregon

Profile Details

NPI number 1578587192
LBN Legal business name James H. Tyack Dmd Pc
DBA Doing business as Tyack Dental Group
Authorized official Tyack, James Hal Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578587192 NPPES
Oregon MEDICAID 199372
Oregon MEDICAID 5043146

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