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Dr. Tyler Brent Whiting, DMD,BS
Pediatric Dentist in Eugene, Oregon
NPI 1366836835

Tyler Brent Whiting is a Pediatric Dentist based in Eugene, OR and is specialized in Pediatric Dentistry. Tyler Brent Whiting practices in Eugene, OR and has the professional credentials of DMD,BS. The NPI Number for Tyler Brent Whiting is 1366836835 and holds a License No. (Oregon).

The current practice location address for Tyler Brent Whiting is 4122 Quest Dr, Eugene, OR and can be reached out via phone at 541-844-1667 and via fax at 541-505-8463.

Location: 4122 Quest Dr, Eugene, OR, 97402-8768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366836835
Provider Name
Tyler Brent Whiting
Credential
DMD,BS
Provider Entity Type
Individual
Gender
Male
Address
4122 Quest Dr, Eugene, OR, 97402-8768
Phone Number
541-844-1667
Fax Number
541-505-8463
Provider Enumeration Date
03/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D09666 01 AZ DENTAL LICENSE
D10985 01 OR DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4122 Quest Dr
City
Eugene
State
Oregon
Zip
97402
Phone Number
541-844-1667
Fax Number
541-505-8463
person
Provider Business Mailing Address Details
Address
4122 Quest Dr
City
Eugene
State
Oregon
Zip
97402
Phone Number
541-844-1667
Fax Number
541-505-8463
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D009666 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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