Tyler C Prestwich DDS Ms PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2271 Issued in ND

Legal business name

TYLER C PRESTWICH DDS MS PLLC

Practice address

1015 S Broadway
Suite 17
Minot, ND 58701-4667

Phone

(701) 852-2646

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tyler C Prestwich, DDS, PHD, MS

Title

Owner

Phone

(701) 852-2646

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prestwich Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis D Sommers, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Minot, ND
  • NPI 1013063544
  NPD (past)

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1124492327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY",
            "address_2": "SUITE 17",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-852-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY",
            "address_2": "SUITE 17",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-852-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER C PRESTWICH DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "PRESTWICH",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-852-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ND",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465830",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestwich Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly J Turneau, MD
• Candice M Turner
• Sommeral J Turner, L.A.C.
• Sarah Ann Tvedt, UAP/MALLL/MA/CNA
• Amber Ann Twogood, LAC
• Dainna Tyler
• Anthony A Udekwe, MD
• Chukwuka Ugobi
• David Ndubuisi Jude Ugobi, MD
• Crystal Ulat, CCC-SLP MA

• Orthodontics and Dentofacial Orthopedics Dentistry in Minot, ND
• Providers in Minot, ND by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.