Phillip a. Tyndall, DDS,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5342 Issued in OK

Legal business name

PHILLIP A. TYNDALL, DDS,PC

Practice address

415 E Hartford Ave
Ponca City, OK 74601-1512

Phone

(580) 762-7857

NPI assigned

May 5, 2008

Last updated

May 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Tyndall, RDH

Title

RDH/Office Manager

Phone

(580) 762-7857

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Alan Tyndall, DDS

  • General Practice Dentistry
  • Ponca City, OK
  • NPI 1477540813
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1265608749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HARTFORD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011512",
            "telephone_number": "580-762-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARTFORD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011512",
            "telephone_number": "580-762-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP A. TYNDALL, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "TYNDALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "RDH/OFFICE MANAGER",
        "authorized_official_telephone_number": "580-762-7857",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam Vale Penny, LPTA
• Ramona Estrada Peralez, RPT
• Randall Quirt Perkins, PHARM-D
• Brenda Lee Peters, A.R.N.P. & C.P.N.P.
• Phillip a. Tyndall, DDS, PC
• Jamie Dawn Phillips, MS, LPC
• Physicians Urgent Care Center, Inc.
• Amie Elaine Pickard, MCP
• Paul Bradley Plowman, M.D.
• Pamela J Poland, M.D.

• General Practice Dentistry in Ponca City, OK
• Providers in Ponca City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.