MEDICARE: DR. TYREL JAMES FINMOR 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	D10879	OR
2	1223G0001X	General Practice Dentistry	DENT.DE.61475754	WA

General Provider Information

NPI Number	:	1992284012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TYREL JAMES FINMOR DMD

Provider Business Mailing Address
First Line	:	PO BOX 1900
Second Line	:
City	:	EASTSOUND
State	:	WA
Zip	:	98245-1900
Country	:	US
Telephone Number	:	360-376-4774
Fax Number	:	360-376-7026

Provider Business Practice Location Address
First Line	:	469 N BEACH RD
Second Line	:
City	:	EASTSOUND
State	:	WA
Zip	:	98245-8927
Country	:	US
Telephone Number	:	360-376-4774
Fax Number	:	360-376-7026

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

Provider Enumeration Date	:	08/09/2018
Last Update Date	:	01/05/2026

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