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

DR. TYLER R BURNINGHAM, DMD

Active Sole Proprietor

DR. TYLER R BURNINGHAM, DMD is a Endodontics healthcare provider located in LACEY, Washington. NPI 1396973418 is currently active in the NPPES registry. Verify at CMS.

Endodontics · LACEY, WA

Registration Details

NPI Number
1396973418
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2009 (16.989628656426 yrs)
Last Updated
Nov 25, 2019
Licenses
24705 (TX)
DE60996227 (WA)
Sole Proprietor
Yes

Practice Information

Address
8857 WINDHAM CT NE
LACEY, WA, 985163884
Browse WA providers · Browse ZIP 98516
Phone
8016710340
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics

Other Endodontics Providers in LACEY, WA

Name Credential NPI
DR. AHMAD OUBAID DMD 1194487959
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.