TY ERIKS DMD NPI 1235427493

NPI Information

NPI: 1235427493
Provider Name: TY ERIKS, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1831 NE 45TH ST
SUITE B
FORT LAUDERDALE, FL
ZIP 33308
Phone: (195) 477-1331
Get Directions

Ty Eriks, DMD is a general practice dentist in Fort Lauderdale, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Ty Eriks, DMD NPI is 1235427493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1831 NE 45TH ST
SUITE B
FORT LAUDERDALE, FL
ZIP 33308-117
Phone: (195) 477-1331

The enumeration date for this NPI number is 7/21/2011 and was last updated on 11/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DE60228655	WASHINGTON	No
2	1223G0001X	Dentist	General Practice	DN19397	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	006387200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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