NPI 1023665510

Tyler James Madsen, DDS

Practitioner General Practice Dentistry Klamath Falls, OR

Practice location

Address: 2571 Campus Dr, Klamath Falls, OR 97601-1102
Phone: (541) 363-5419
Fax: (541) 363-5420

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D11129 (OR)

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Registry record

NPI: 1023665510
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2019
Record last updated: 20 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.