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

TYLER BRADSTREET

Active

TYLER BRADSTREET is a General Dentistry healthcare provider located in GRESHAM, Oregon. NPI 1699126532 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · GRESHAM, OR

Registration Details

NPI Number
1699126532
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2016 (10.141278345547 yrs)
Last Updated
Jan 13, 2021
License
D10466 (OR)

Practice Information

Address
23479 SE STARK ST
STE. 102
GRESHAM, OR, 970302962
Browse OR providers · Browse ZIP 97030
Phone
5036671184
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in GRESHAM, OR

Name Credential NPI
STEVEN M MORALES D.D.S. 1720081334
LLOYD CHANG DDS 1326011370
DR. HOWARD E HILMAN DMD 1902879539
DR. SANDRA J. BENNETT DMD 1932157609
DR. ONAIZA JHAVERI MCKNIGHT D.M.D. 1932141470
DR. JAMES ALAN SMITH D.M.D 1093735946
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.