Phillip Alan Tyndall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5342 Issued in OK

Practice address

415 E Hartford Ave
Ponca City, OK 74601-1512

Phone

(580) 762-7857

Fax

(580) 762-2788

NPI assigned

Sep 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phillip a. Tyndall, DDS, PC

  • General Practice Dentistry
  • Ponca City, OK
  • NPI 1518531961
  NPD
• Phillip a. Tyndall, DDS,PC

  • General Practice Dentistry
  • Ponca City, OK
  • NPI 1265608749
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1477540813",
    "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",
            "fax_number": "580-762-2788"
        },
        {
            "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",
            "fax_number": "580-762-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "PHILLIP",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "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": []
}

• Triad Health Systems LLC
• Tristone Counseling & Developmental Strategies
• Natalie L Troup
• Kim Michelle Turner
• Jennifer D Turney, LMSW, MSW U/S
• Peggy R. Tyrrell, RN
• Susanna V. Ulahannan, M.D.
• United Community Action Program, Inc.
• Urgent Care and Family Practice Center of Ponca City LLC
• Utica Sleep Laboratories

• 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 Apr 24, 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.