Tyler Fordham DDS PLLC

General Practice Dentistry · Port Townsend, WA

Organization Active NPI

NPI number 1508126491

Practice location

1233 W Sims Way
Port Townsend, WA 98368-3057
Phone
(360) 349-4001

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NPI record

NPI
1508126491
Entity type
Organization (Type 2)
Enumeration date
May 24, 2012
Last updated
May 24, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE60212723 WA

Mailing address

82 Masonic Hall Rd
Port Hadlock, WA 98339-9567
Phone
(360) 349-4001

Authorized official

Name
Dr. Tyler Alan Fordham, DDS
Title
Owner
Phone
(360) 349-4001

About Tyler Fordham DDS PLLC

Tyler Fordham DDS PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1233 W Sims Way, Port Townsend, WA 98368-3057. The NPI number 1508126491 was assigned on May 24, 2012 and the record was last updated on May 24, 2012.

Tyler Fordham DDS PLLC lists a license in the registry: #DE60212723 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Tyler Alan Fordham, DDS, Owner.

Frequently asked questions

What is the NPI number of Tyler Fordham DDS PLLC?

The NPI number is 1508126491.

What is the phone number of Tyler Fordham DDS PLLC?

The phone number listed for the practice location is (360) 349-4001.

Where is Tyler Fordham DDS PLLC located?

1233 W Sims Way, Port Townsend, WA 98368-3057.

What is the taxonomy code for Tyler Fordham DDS PLLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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