Individual provider · Type 1 NPI
Tylen K. Haderlie, DDS
Dentist · Knoxville, TN
Practice location
5315 Fountain Rd Ste A
Knoxville, TN 37918-3094
Fax (865) 688-8503
Other practice locations
- 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 · (315) 772-6234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 2016017398 (MO) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1558711010
Tylen K. Haderlie, DDS's National Provider Identifier is 1558711010, issued on Jun 15, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Knoxville, TN. The record was last updated on Sep 11, 2025.