Mayerle & Tydeman, Llc

LBN: Mayerle & Tydeman, Llc
Mayerle & Tydeman, Llc is an health care organization with primary practice located at 14800 Kruse Oaks Blvd Ste A , Lake Oswego OR 97035-8671. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mayerle & Tydeman, Llc can be contacted via phone (503) 684-2944, or through Tydeman, Ian Stuart via phone (503) 577-3168.

Contact Information

Primary practice address
14800 Kruse Oaks Blvd Ste A Lake Oswego OR 97035-8671
Phone: (503) 684-2944
Fax: (503) 624-6335
Website:
Map and Directions
Authorized official contact:
Name: Tydeman, Ian Stuart Doctor of Dental Medicine (DMD)
Phone: (503) 577-3168

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D6896 Oregon
Dental Providers / Dentist 122300000X D9162 Oregon

Profile Details

NPI number 1104173244
LBN Legal business name Mayerle & Tydeman, Llc
DBA Doing business as
Authorized official Tydeman, Ian Stuart Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2012
Last updated Aug 8th, 2012 - about 14 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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