Whiting, Tyler Brent

Whiting, Tyler Brent is an individual health care provider with primary practice located at 4122 Quest Dr , Eugene OR 97402. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Whiting, Tyler Brent can be contacted via phone (541) 844-1667.

Contact Information

Primary practice address
4122 Quest Dr Eugene OR 97402
Phone: (541) 844-1667
Fax: (541) 505-8463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X D009666 Arizona
Dental Providers / Pediatric Dentistry 1223P0221X 10985 Oregon

Profile Details

NPI number 1366836835
LBN Legal business name Whiting, Tyler Brent
Credentials DMD, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2015
Last updated Jul 19th, 2019 - about 7 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 1366836835 NPPES
Arizona Other D09666 DENTAL LICENSE
Arizona Other D10985 DENTAL LICENSE

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