Judd, Tysa Marie

Judd, Tysa Marie is an individual health care provider with primary practice located at 5 Sunrise Loop #C , Ennis MT 59729. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Judd, Tysa Marie can be contacted via phone (406) 682-3310.

Contact Information

Primary practice address
5 Sunrise Loop #C Ennis MT 59729
Phone: (406) 682-3310
Fax: (406) 682-3386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11097 Oregon
Dental Providers / Dentist 122300000X DENDENLIC25828 Montana

Profile Details

NPI number 1326697822
LBN Legal business name Judd, Tysa Marie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2019
Last updated Sep 19th, 2023 - about 3 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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