Dr. Kenneth Dale Tyler
Endodontist
9097 E Desert Cove Ave
Scottsdale
, Arizona 85260-6277
Dr. Kenneth Dale Tyler
Endodontist
9097 E Desert Cove Ave
Scottsdale
, Arizona 85260-6277
(480) 860-1474
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Kenneth Dale Tyler
- Po Box 14123
- Scottsdale, AZ
- Zip : 85267-4123
- Phone : (480) 860-1474
Second Address
- Dr. Kenneth Dale Tyler
- 9097 E Desert Cove Ave
- Scottsdale, AZ
- Zip : 85260-6277
- Phone : (480) 860-1474
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 4456 | AZ |
National Provider Identifier
| NPI | 1013909985 |
|---|---|
| Provider Name | Dr. Kenneth Dale Tyler |
| First Address | Scottsdale, AZ 85267-4123 |
| Second Address | Scottsdale, AZ 85260-6277 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.