Organization Active NPI

T M Wyland Dental Lab II Inc

  • Dentist
  • Warren, OH
National Provider Identifier
1487877874
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
T M WYLAND DENTAL LAB II INC
Practice address
947 Hallock Young Rd SW
Warren, OH 44481-9636
Phone
(330) 824-2515
Fax
(330) 824-2333
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Myron Kenneth Biddle III
Title
Treasurer
Phone
(814) 946-8189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Laboratory 292200000X

Addresses

Primary practice location

947 Hallock Young Rd SW
Warren, OH 44481-9636

Mailing address

947 Hallock Young Rd SW
Warren, OH 44481-9636
Phone (330) 824-2515

National Provider Directory

National Provider Directory
Tax ID family
Lordstown Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487877874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 HALLOCK YOUNG RD SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444819636",
            "telephone_number": "330-824-2515",
            "fax_number": "330-824-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 HALLOCK YOUNG RD SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444819636",
            "telephone_number": "330-824-2515",
            "fax_number": "330-824-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T M WYLAND DENTAL LAB II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BIDDLE",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "814-946-8189",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.