Dr. Mary Tyler Ewald is a Fairdale,, Kentucky based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mary Tyler Ewald is
5271 for General Practice Dentistry in Kentucky. Her current practice location is
508 Fairdale Road, Fairdale,. Patients can reach her at
502-361-1872.
Dr. Mary Tyler Ewald is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mary Tyler Ewald speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mary Tyler Ewald |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 508 Fairdale Road, Fairdale,,
Kentucky, 40118 |
| Phone: | 502-361-1872 |
| Fax: | 502-363-0539 |
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 are as mentioned below.
| NPI Number: | 1952523805 |
| NPI Enumeration Date: | 02 May, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Tyler Ewald are as mentioned below.
| License Number | Specialization | State | Status | |
| 5271 | General Practice Dentistry | Kentucky | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 508 Fairdale Road,
Fairdale,, Kentucky |
| Zip: | 40118 |
| Phone Number: | 502-361-1872 |
| Fax Number: | 502-363-0539 |
Patients can reach Dr. Mary Tyler Ewald at
508 Fairdale Road, Fairdale,, Kentucky or can
call to book an appointment on 502-361-1872.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.