Tyler Haradon is a Colorado Springs, Colorado based Periodontics who is specialized in Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Tyler Haradon is 204636 for Periodontology in Colorado. His current practice location is 685 Citadel Dr E Ste 200a, Colorado Springs. Patients can reach him at 719-574-4867.
Tyler Haradon is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Tyler Haradon 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:
Tyler Haradon
Specialization:
Periodontics
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
685 Citadel Dr E Ste 200a, Colorado Springs, Colorado, 80909-5315
Phone:
719-574-4867
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:
1972173706
NPI Enumeration Date:
24 Jun, 2021
NPI Last Update On:
24 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyler Haradon are as mentioned below.
License Number
Specialization
State
Status
204636
Periodontology
Colorado
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tyler Haradon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7195744867
Other
OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
685 Citadel Dr E Ste 200a, Colorado Springs, Colorado
Zip:
80909-5315
Phone Number:
719-574-4867
Patients can reach Tyler Haradon at 685 Citadel Dr E Ste 200a, Colorado Springs, Colorado or can call to book an appointment on 719-574-4867. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.