Individual provider · Type 1 NPI

Tyler Douma

General Practice Dentistry · Spokane, WA

NPI number 1548628175 Active

Practice location

9019 E Mission Ave, Spokane Valley Office
Spokane, WA 99212

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XRR 60559973 (WA)
General Practice Dentistry Primary 1223G0001XDE60660643 (WA)

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 1548628175

Tyler Douma's National Provider Identifier is 1548628175, issued on Feb 10, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Spokane, WA. The record was last updated on Jul 13, 2016.