DR. Tylen K Haderlie, DDS is a healthcare provider in Knoxville, TN. DR. Tylen K Haderlie, DDS NPI is 1558711010. 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:
5315 FOUNTAIN RD STE A KNOXVILLE, TN ZIP 37918-094 Phone: (865) 687-6763 Fax: (865) 688-8503
The enumeration date for this NPI number is 6/15/2016 and was last updated on 6/26/2024.
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:
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: 3/30/2025
NPI Synchronization or Removal
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