Healthcare Provider Details

I. General information

NPI: 1952233421
Provider Name (Legal Business Name): TYLER STEVEN WHITFIELD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 WELLNESS WAY
WASHINGTON PA
15301-9697
US

IV. Provider business mailing address

301 N SHADY AVE
HOUSTON PA
15342-1350
US

V. Phone/Fax

Practice location:
  • Phone: 172-422-5368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS045695
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: