Teeples, Tyson

Teeples, Tyson is an individual health care provider with primary practice located at 512 N Young St , Kennewick WA 99336-7806. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Teeples, Tyson can be contacted via phone (509) 783-7600.

Contact Information

Primary practice address
512 N Young St Kennewick WA 99336-7806
Phone: (509) 783-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X D12473 Minnesota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DE60266972 Washington
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9701 Oregon
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 60266972 Washington
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X D9701 Oregon

Profile Details

NPI number 1952505984
LBN Legal business name Teeples, Tyson
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Nov 25th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952505984 NPPES
Minnesota MEDICAID 366965000

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