Healthcare Provider Details

I. General information

NPI: 1346490802
Provider Name (Legal Business Name): TYLER SCOTT PRITCHARD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W MAIN ST
BATTLE GROUND WA
98604-9178
US

IV. Provider business mailing address

411 W MAIN ST
BATTLE GROUND WA
98604-9178
US

V. Phone/Fax

Practice location:
  • Phone: 360-667-4111
  • Fax: 360-667-4180
Mailing address:
  • Phone: 360-667-4111
  • Fax: 360-667-4180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number60113224
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: