Tyler Kayle Longfellow, DMD

General Practice Dentistry · Soldotna, AK

Individual Active NPI

NPI number 1740952472

Practice location

104 S Binkley St Ste a
Soldotna, AK 99669-8038
Phone
(907) 262-8834

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NPI record

NPI
1740952472
Entity type
Individual (Type 1)
Enumeration date
September 30, 2021
Last updated
September 30, 2021
Certified
August 25, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 182292 AK

Mailing address

288 Geranium Rd
Soldotna, AK 99669-7968
Phone
(801) 791-1760

About Dr. Longfellow

Tyler Kayle Longfellow, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 104 S Binkley St Ste a, Soldotna, AK 99669-8038. The NPI number 1740952472 was assigned on September 30, 2021 and the record was last updated on September 30, 2021.

Dr. Longfellow lists a license in the registry: #182292 (AK) 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 Tyler Kayle Longfellow, DMD?

The NPI number is 1740952472.

What is the phone number of Dr. Longfellow?

The phone number listed for the practice location is (907) 262-8834.

Where is Dr. Longfellow located?

104 S Binkley St Ste a, Soldotna, AK 99669-8038.

What is the taxonomy code for Dr. Longfellow?

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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