DR. TYLER STEVEN WALLINGFORD (NPI# 1396274429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396274429 |
| Entity Type | Individual |
| Full Name | DR. TYLER STEVEN WALLINGFORD |
| Credential | DDS |
| Practice Address |
402 Poplar St Atlantic IA 50022-1250 |
| Practice Telephone | (712) 243-3275 |
| Practice Fax Number | 7122438024 |
| Mailing Telephone | 7122433275 |
| Mailing Fax Number | 7122438024 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS-09431 | IA | Dental Providers |
| Street Address |
402 POPLAR ST |
| City | ATLANTIC |
| State | IA |
| Zip Code | 50022-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174689707 | Timothy John Kreifels | Dentist | 402 Poplar St, Atlantic, IA 50022-1250 | 2006-12-28 |
| 1235799230 | Chet Meneely | Dentist | 402 Poplar St, Atlantic, IA 50022-1250 | 2019-06-20 |
| 1275708117 | Timothy J Kreifels Dds PC | Clinic/Center | 402 Poplar St, Atlantic, IA 50022-1250 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227454 | Anna Johnson | Physical Therapy Assistant | 1510 E. 10th St, Atlantic, IA 50022 | 2016-10-27 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1730470212 | Jane Marie Turner | Registered Nurse | 1408 East 10th Street, Atlantic, IA 50022 | 2011-05-02 |
| 1215124532 | Assisted Living Concepts Inc | Assisted Living Facility | 1406 East 19th, Atlantic, IA 50022 | 2007-10-01 |
| 1558429134 | Roland J Flory | Podiatrist | 808 E 7th, Atlantic, IA 50022 | 2006-12-05 |
| 1073680344 | Douglas John Spicer | Dentist | 411 Poplar Street, Atlantic, IA 50022 | 2006-11-29 |
| 1235224536 | Atlantic Community School District | Local Education Agency (LEA) | 1100 Linn Street, Atlantic, IA 50022 | 2006-10-03 |
| 1518976653 | Center for The Advancement of Self Sufficiency Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1406 Sw 7th St, Atlantic, IA 50022 | 2006-08-07 |
| 1124099791 | Emerson Allen Link | Psychologist | 1408 E 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1205807872 | Rebecca R Sponsler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2006-01-31 |
| Find all providers in zip 50022 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972952984 | Cassie J Berens | Dentist | 211 Chestnut St, Atlantic, IA 50022-1062 | 2016-06-09 |
| 1992840193 | Robert John Muldoon | Dentist | 206 E 5th St, Atlantic, IA 50022-1337 | 2007-02-21 |
| 1508416017 | Mitchel Gavino | Dentist | 1501 E 10th St Ste 213, Atlantic, IA 50022-1936 | 2019-09-17 |
| 1558710327 | Zackary M Bandow | Dentist | 1404 E 10th St, Atlantic, IA 50022-1955 | 2016-06-12 |
| 1740438753 | Taylor J Schroeder | Dentist | 411 Poplar St, Atlantic, IA 50022-1251 | 2008-09-03 |
| 1437363058 | Shawn Ray Petersen | Dentist | 1501 E 10th St, Atlantic, IA 50022-1936 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545959 | Melika Farshad | Dentist | 1810 N Coral St Ste A, Coralville, IA 52241-7607 | 2020-07-20 |
| 1881212330 | Husein Barodawala | Dentist | 3432 Dodge St Ste 102, Dubuque, IA 52003-5254 | 2020-07-10 |
| 1891312955 | Daniel Van Roekel | Dentist | 950 28th Ave Sw Ste 2, Altoona, IA 50009-3940 | 2020-07-06 |
| 1770100505 | Ellen Leigh Hart | Dentist | 2616 Diamondwood Dr, Cedar Rapids, IA 52403-1518 | 2020-06-27 |
| 1760007850 | Layton Fritsch | Dentist | 4090 21st Ave Sw, Cedar Rapids, IA 52404-6308 | 2020-06-15 |
| 1235763830 | Michael Jeffrey Crew | Dentist | 806 S Duff Ave, Ames, IA 50010-6823 | 2020-02-24 |
| 1467006122 | Ankeny Smiles, LLC | Dentist | 225 Se Oralabor Rd Ste 3, Ankeny, IA 50021-9118 | 2019-07-30 |
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1932769635 | Grant Mccaulley | Dentist | 1540 High St Ste 201, Des Moines, IA 50309-3112 | 2019-06-17 |
| 1770143596 | Applewhite Dental Iowa PC | Dentist | 600 E 17th St S Ste A, Newton, IA 50208-4094 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.