TYSON TEEPLES, DMD, MD

Oral & Maxillofacial Surgery (D.M.D.) · KENNEWICK, WA

Individual Active Opted out of Medicare NPI 1952505984

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X60266972WA
Student in an Organized Health Care Education/Training Program390200000X
Oral & Maxillofacial Surgery (D.M.D.)204E00000XD12473MN
Oral and Maxillofacial Surgery (Dentist)1223S0112XDE60266972WA
Oral and Maxillofacial Surgery (Dentist)1223S0112XD9701OR
Oral & Maxillofacial Surgery (D.M.D.)204E00000XD9701OR

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Maxillofacial Surgery), effective 2018-03-28 through 2028-03-28.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.