Tyler L. Phelan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN185863 Issued in MA

Practice address

3 Howarth Ave
Attleboro, MA 02703

Phone

(508) 761-5320

Fax

(508) 761-7279

NPI assigned

Jun 24, 2019

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tyler L. Phelan DDS PLLC

  • Dentist
  • Attleboro, MA
  • NPI 1316639933
  NPD Authorized official

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1932760790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 HAYDEN ROWE STREET",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "01748",
            "telephone_number": "401-330-7677",
            "fax_number": "508-761-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOWARTH AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "02703",
            "telephone_number": "508-761-5320",
            "fax_number": "508-761-7279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028883847",
            "country_code": "US",
            "telephone_number": "401-736-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "TYLER",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "1858365",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN185863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Petrides, MSN, FNP-BC
• Tina M Pezza, MS, CCC/SLP, CEIS
• Kari Pfeiler, PT
• Gina Pham, BSN, RN
• Pharmblue Massachusetts LLC
• Ronald P. Pigeon, M.D.
• Jordana Pilz
• Stacy Lynn Pina
• Maria Pinheiro
• Joseph Abroni Pinkrah

• General Practice Dentistry in Attleboro, MA
• Providers in Attleboro, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.