Dr. Tyler Mark Whiting
Dentist Endodontist
1903 Wilmington Dr Unit 101
Fort Collins
, Colorado 80528-6100
Dr. Tyler Mark Whiting
Dentist Endodontist
1903 Wilmington Dr Unit 101
Fort Collins
, Colorado 80528-6100
(208) 366-7416
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About
Features
Specialties
- Dentist
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Tyler Mark Whiting
- 486 West First Ave
- Glenns Ferry, ID
- Zip : 83623
- Phone : (208) 366-7416
Second Address
- Dr. Tyler Mark Whiting
- 1903 Wilmington Dr Unit 101
- Fort Collins, CO
- Zip : 80528-6100
- Phone : (970) 568-5255
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | D-4670 | ID |
| Y | 1223E0200X | Endodontist | 00204685 | CO |
National Provider Identifier
| NPI | 1124400890 |
|---|---|
| Provider Name | Dr. Tyler Mark Whiting |
| First Address | Glenns Ferry, ID 83623 |
| Second Address | Fort Collins, CO 80528-6100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2015 |
| Last Update Date | 28/12/2021 |
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.