Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID JOHN TYCAST
ActiveDR. DAVID JOHN TYCAST is a Dentist healthcare provider located in LE SUEUR, Minnesota. NPI 1356546717 is currently active in the NPPES registry. Verify at CMS.
Dentist · LE SUEUR, MN
Registration Details
- NPI Number
- 1356546717
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2007 (19.146730746752 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D12397 (MN)
Practice Information
- Address
-
304 VALLEY GREEN SQUARELE SUEUR, MN, 56058Browse MN providers · Browse ZIP 56058
- Phone
- 5076656812
- Fax
- 5076654127
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.