Ian Stuart Tydeman, DMD

General Practice Dentistry · Lake Oswego, OR

Individual Active NPI

NPI number 1689830556

Practice location

14800 Kruse Oaks Blvd
Suite a
Lake Oswego, OR 97035-8603
Phone
(503) 684-2944

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NPI record

NPI
1689830556
Entity type
Individual (Type 1)
Enumeration date
July 31, 2008
Last updated
July 31, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D9162 OR

About Dr. Tydeman

Ian Stuart Tydeman, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 14800 Kruse Oaks Blvd, Suite a, Lake Oswego, OR 97035-8603. The NPI number 1689830556 was assigned on July 31, 2008 and the record was last updated on July 31, 2008.

Dr. Tydeman lists a license in the registry: #D9162 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ian Stuart Tydeman, DMD?

The NPI number is 1689830556.

What is the phone number of Dr. Tydeman?

The phone number listed for the practice location is (503) 684-2944.

Where is Dr. Tydeman located?

14800 Kruse Oaks Blvd, Suite a, Lake Oswego, OR 97035-8603.

What is the taxonomy code for Dr. Tydeman?

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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