Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY TYLER EWALD, D.M.D.
Active Sole ProprietorDR. MARY TYLER EWALD, D.M.D. is a General Dentistry healthcare provider located in FAIRDALE,, Kentucky. NPI 1952523805 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FAIRDALE,, KY
Registration Details
- NPI Number
- 1952523805
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (19.297608235181 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5271 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
508 FAIRDALE ROADFAIRDALE,, KY, 40118Browse KY providers · Browse ZIP 40118
- Phone
- 5023611872
- Fax
- 5023630539
- Primary Specialty
-
General Dentistry
1223G0001X
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.