Tyler Fordham DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60212723 Issued in WA

Legal business name

TYLER FORDHAM DDS PLLC

Practice address

1233 W Sims Way
Port Townsend, WA 98368-3057

Phone

(360) 349-4001

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Alan Fordham, DDS

Title

Owner

Phone

(360) 349-4001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1508126491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MASONIC HALL RD",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983399567",
            "telephone_number": "360-349-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W SIMS WAY",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983683057",
            "telephone_number": "360-349-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER FORDHAM DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "FORDHAM",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-349-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60212723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braydon W Torgler
• Frank W. Torres, M.D.
• Lyris C Tudhope-Locklear, PSYCHOLOGIST
• Lanny Turay, R.PH.
• Karen Ankerholz Turley, RPH
• Julie A Uebel
• Anne-Marie Ulrich, APRN-CNP
• Yuko Umeda, R.N.
• Uptown Physical Therapy
• Uptown Physical Therapy (Peninsula Physical Therapy Services)

• General Practice Dentistry in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.