Individual provider · Type 1 NPI

Tyler Ross Derouin

General Practice Dentistry · Detroit Lakes, MN

NPI number 1437564085 Active

Practice location

1136 Washington Ave
Detroit Lakes, MN 56501-3411

Call (218) 847-2624 Map

Fax (218) 847-5792

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD13417 (MN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1437564085

Tyler Ross Derouin's National Provider Identifier is 1437564085, issued on Jun 23, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jun 23, 2014.