Tyree, Carl Joseph

Tyree, Carl Joseph is an sole proprietor health care provider with primary practice located at 2100 45Th St , Highland IN 46322-3742. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Tyree, Carl Joseph can be contacted via phone (219) 924-4411.

Contact Information

Primary practice address
2100 45Th St Highland IN 46322-3742
Fax: (219) 924-2314
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12007389A Indiana

Profile Details

NPI number 1780772665
LBN Legal business name Tyree, Carl Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Sep 1st, 2022 - about 4 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 1780772665 NPPES
Indiana MEDICAID 100208100A
Indiana MEDICAID 100208100B

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