MEDICARE: TYLER S MCCREADIE DMD

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
1	1223G0001X	General Practice Dentistry	D12225	OR

General Provider Information

NPI Number	:	1871483024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER S MCCREADIE DMD

Provider Business Mailing Address
First Line	:	1761 AUSTIN ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4621
Country	:	US
Telephone Number	:	541-882-9039
Fax Number	:	541-851-9270

Provider Business Practice Location Address
First Line	:	1761 AUSTIN ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4621
Country	:	US
Telephone Number	:	541-882-9039
Fax Number	:	541-851-9270

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1538371661 — STEVEN R. SHIRTS, MD PC
Practice Location Address:

1741 AUSTIN ST
KLAMATH FALLS, OR
97603-4621

Practice Phone: 541-273-3000
Practice Fax: 541-273-3014

1356010284 — STACY DOBRY-RIORDAN
Practice Location Address:

1741 AUSTIN ST
KLAMATH FALLS, OR
97603-4621

Practice Phone: 541-891-6156
Practice Fax:

1649898727 — EMILY EDWARDS ATC
Practice Location Address:

4621 MONTERREY DR
WICHITA FALLS, TX
76310-3946

Practice Phone: 469-243-4058
Practice Fax:

1992949796 — KLAMATH CHILD AND FAMILY TREATMENT CENTER
Practice Location Address:

705 WASHBURN WAY
KLAMATH FALLS, OR
97603-3648

Practice Phone: 541-883-1030
Practice Fax:

1316882525 — MICHELLE NICOLE HAMM INTERN
Practice Location Address:

3815 S 6TH ST
KLAMATH FALLS, OR
97603-4759

Practice Phone: 541-205-6750
Practice Fax:

Directions to “ TYLER S MCCREADIE DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.