Provider Demographics
NPI:1699433839
Name:TYLER V. WURMLINGER DDS PLLC
Entity type:Organization
Organization Name:TYLER V. WURMLINGER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:WURMLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-434-3679
Mailing Address - Street 1:403 GILEAD RD STE E
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6814
Mailing Address - Country:US
Mailing Address - Phone:704-895-7660
Mailing Address - Fax:
Practice Address - Street 1:403 GILEAD RD STE E
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6814
Practice Address - Country:US
Practice Address - Phone:704-895-7660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental