Search › Oklahoma › 1223X0400X
Tyler Devaughan, D.D.S., M.S
NPI 1558625335 · on the registry since 2012
Practice
- Address
- 500 N Monte Vista St Ste 1b
Ada, OK 74820 - Phone
- (580) 276-1834
- Fax
- (580) 559-0658
- Organisation at this address
- Ada Vision Inc
Hudson'S Medicine Chest
Ada Family Dentistry Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1024 Sw 104th St, Oklahoma City, OK
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma