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NPI Code Detail

MEDICARE: DR. DAVID I. TINDLE DDS

MEDICARE: DR. DAVID I. TINDLE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry15878TX
21223G0001XGeneral Practice Dentistry52527CA
3122300000XDentist2901020334MI

General Provider Information

NPI Number : 1407827512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID I. TINDLE DDS
Provider Business Mailing Address
First Line : 1011 N UNIVERSITY AVE
Second Line : DEPT PERIODONTICS AND ORAL MEDICINE
City : ANN ARBOR
State : MI
Zip : 48109-1078
Country : US
Telephone Number : 734-764-1543
Fax Number :
Provider Business Practice Location Address
First Line : 1011 N UNIVERSITY AVE
Second Line : DEPT PERIODONTICS AND ORAL MEDICINE
City : ANN ARBOR
State : MI
Zip : 48109-1078
Country : US
Telephone Number : 734-764-1543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 07/25/2011

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