DR. Leonard Michael Tyko, DDS, MD is an oral and maxillofacial surgery dentist in Santa Rosa, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Leonard Michael Tyko, DDS, MD NPI is 1770626921. 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:
1174 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405-818
Phone: (707) 545-4625
The NPI 1770626921 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/15/2007 and was last updated on 7/8/2007.