DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAYERLE & TYDEMAN, LLC

Active Organization

MAYERLE & TYDEMAN, LLC is a Dentist organization located in LAKE OSWEGO, Oregon. NPI 1104173244 is currently active in the NPPES registry. Verify at CMS.

Dentist · LAKE OSWEGO, OR

Registration Details

NPI Number
1104173244
Provider Type
Organization
NPI Issued
Aug 8, 2012 (13.995413479963 yrs)
Last Updated
Aug 8, 2012
Licenses
D9162 (OR)
D6896 (OR)

Practice Information

Address
14800 KRUSE OAKS BLVD STE A
LAKE OSWEGO, OR, 970358671
Browse OR providers · Browse ZIP 97035
Phone
5036842944
Fax
5036246335
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Organizations in LAKE OSWEGO, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.