Healthcare Provider Details

I. General information

NPI: 1992284012
Provider Name (Legal Business Name): TYREL JAMES FINMOR DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 N BEACH RD
EASTSOUND WA
98245-8927
US

IV. Provider business mailing address

PO BOX 1900
EASTSOUND WA
98245-1900
US

V. Phone/Fax

Practice location:
  • Phone: 360-376-4774
  • Fax: 360-376-7026
Mailing address:
  • Phone: 360-376-4774
  • Fax: 360-376-7026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD10879
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDENT.DE.61475754
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: