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Search › Idaho › 1223G0001X

Tyler Hendricks, DDS

NPI 1891356184 · on the registry since 2019

Practice

Address
813 N Stilson Rd
Boise, ID 83703
Phone
(208) 342-4644
Fax
(208) 375-8208
Organisation at this address
Gray Team Llc
Treasure Valley Periodontics
Stilson Dental Partnership Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-26

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 Idaho