Tyndall, Phillip Alan
Tyndall, Phillip Alan is an sole proprietor health care provider with primary practice located at 415 E Hartford Ave , Ponca City OK 74601-1512. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tyndall, Phillip Alan can be contacted via phone (580) 762-7857.Contact Information
Primary practice address
415 E Hartford Ave
Ponca City OK 74601-1512
Phone: (580) 762-7857
Fax: (580) 762-2788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5342 | Oklahoma |
Profile Details
| NPI number | 1477540813 |
|---|---|
| LBN Legal business name | Tyndall, Phillip Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Apr 24th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477540813 | NPPES |
| Oklahoma | MEDICAID | 100126460A |
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