Innovative Endodontic Solutions
Organization Active NPI Endodontics · Duvall, WA
NPI 1376918342 · NPPES record last updated Dec 2, 2015
Key facts
- NPI
- 1376918342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- DE60566900 (WA)
- Legal business name
- INNOVATIVE ENDODONTIC SOLUTIONS
- Practice address
- 26504 NE Valley Street
Duvall, WA 98019 - Phone
- (425) 788-9575
- Fax
- (425) 788-9577
- NPI assigned
- Dec 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Cynthia Rebecca Tyler, DDS
- Title
- Endodontist
- Phone
- (206) 930-8789
Practitioners 2
-
Scott Arthur Martin, DDS
-
Cynthia Rebecca Tyler, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | DE60566900 | WA | Yes |
Addresses
Primary practice location
26504 NE Valley Street
Duvall, WA 98019
Mailing address
PO Box 1180
Duvall, WA 98019-1180
Phone (425) 788-9575
Other providers in Duvall, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.