Search › Kentucky › 122300000X
Tyler Madar, DDS
NPI 1871229443 · on the registry since 2022
Practice
- Address
- 6145 Desert Storm Ave
Fort Campbell, KY 42223 - Phone
- (270) 412-2787
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-30
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 Kentucky