Tyler Clausen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11034 Issued in SC

Practice address

668 Fairview Rd Ste B
Simpsonville, SC 29680-7495

Phone

(864) 881-7098

NPI assigned

Mar 21, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oakes, LLC

  • General Practice Dentistry
  • South Portland, ME
  • NPI 1295287746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1013619188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 FAIRVIEW RD STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807495",
            "telephone_number": "864-881-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 FAIRVIEW RD STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807495",
            "telephone_number": "864-881-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Maine Mall Rd",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062310",
            "country_code": "US",
            "telephone_number": "207-775-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUSEN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN5061",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "11034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ilo Clark, LPC, NCC
• Julie Theriot Clark, RN
• Mark Anthony Clark, PT
• Nikkie Clark, LMSW
• Kristin Claude, APRN
• Clearpath Medical
• Katherine Snow Clemens, MS
• Laura Norton Clinkscales, RN, IBCLC
• Britney Cloud, FNP-C
• Glenetris H Clyburn, PHARMD

• General Practice Dentistry in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.