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Tyler Douma
General Practice Dentistry in Spokane, Washington
NPI 1548628175

Tyler Douma is a General Practice Dentistry based in Hillsboro, WA and is specialized in General Practice. Tyler Douma practices in Spokane, WA. The NPI Number for Tyler Douma is 1548628175 and holds a License No. RR 60559973 (Washington).

The current practice location address for Tyler Douma is 9019 E Mission Ave, Spokane, WA and can be reached out via phone at 855-433-6825.

Location: 9019 E Mission Ave, Spokane, WA, 97124-5611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548628175
Provider Name
Tyler Douma
Credential
Provider Entity Type
Individual
Gender
Male
Address
9019 E Mission Ave, Spokane, WA, 97124-5611
Phone Number
855-433-6825
Fax Number
Provider Enumeration Date
02/10/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54456158 01 WA DENTPIN
institution
Provider Business Practice Location Address Details
Address
9019 E Mission Ave
City
Spokane
State
Washington
Zip
99212
Phone Number
855-433-6825
Fax Number
person
Provider Business Mailing Address Details
Address
9019 E Mission Ave
City
Spokane
State
Washington
Zip
99212
Phone Number
855-433-6825
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE60660643 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health 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.
RR 60559973 (Washington)
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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