Tyack Dental Group is a Dental Clinic in Clatskanie, Oregon. It is located at 400 Sw Bel Air Dr, Clatskanie, OR and its contact number is 503-728-2114. The authorized person for Tyack Dental Group is Dr. James Hal Tyack
who is President of the clinic and their contact number is 503-728-2114. The primary license number for Tyack Dental Group is D5226 (General Practice) in Oregon. Tyack Dental Group Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Tyack Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Tyack Dental Group
Specialization:
General Practice Dentistry
Clinic Address:
400 Sw Bel Air Dr, Clatskanie, Oregon, 97016
Phone:
503-728-2114
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. James Hal Tyack
Position:
President
Contact Number:
503-728-2114
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Tyack Dental Group clinic are as mentioned below.
NPI Number:
1578587192
NPI Enumeration Date:
27 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyack Dental Group are as mentioned below.
Specialization
License Number
State
Status
General Practice
D5226
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
199372
Medicaid
Oregon
5043146
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Tyack Dental Group Po Box 749, Clatskanie, Oregon
Zip:
97016-0749
Phone Number:
503-728-2114
Patients can reach Tyack Dental Group at 400 Sw Bel Air Dr, Clatskanie, Oregon or can call to book an appointment on 503-728-2114. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.