Tj Dyer, DDS
Dentist in Madison, WI. Individual provider (NPI-1).
NPI number1376809129
StatusActive
Last updated in NPPESJan 23, 2017
Details
- NPI
- 1376809129
- Entity type
- Individual (NPI-1)
- Name
- Tj Dyer
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2012
- Last updated
- Jan 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1001229-15 | WI | Yes |
| 122300000X | Dentist | DL11594 | MA |
Practice location
7007 Old Sauk RdMadison, WI 53717-2307
Phone 608-819-8760
Mailing address
7007 Old Sauk RdMadison, WI 53717-2307
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All 111 Dentist providers in Madison · All 16,750 providers in Madison
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