MAYERLE & TYDEMAN, LLC
NPI 1104173244
Dentist in Lake Oswego, OR

Q: What is Mayerle & Tydeman, LLC's NPI number?

The NPI number for Mayerle & Tydeman, LLC is 1104173244. It was assigned to this organization in the NPPES registry on August 8, 2012.

Q: What is Mayerle & Tydeman, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since August 08, 2012

14800 KRUSE OAKS BLVD STE A, LAKE OSWEGO, OR 97035(503) 684-2944(503) 624-6335 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mayerle & Tydeman, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYERLE & TYDEMAN, LLC (NPI 1104173244) is a healthcare organization registered as a dentist in Lake Oswego, Oregon and active in the NPI registry since August 2012. The organization lists Ian Stuart Tydeman, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104173244

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMAYERLE & TYDEMAN, LLC

Location Address14800 KRUSE OAKS BLVD STE ALake Oswego, OR 97035-8671

Mailing Address14800 Kruse Oaks Blvd Ste ALake Oswego, OR 97035-8671 · (503) 684-2944 · Fax (503) 624-6335

Phone(503) 684-2944

Fax(503) 624-6335

Organization SubpartNo

Authorized OfficialIan Stuart TydemanDentist · (503) 577-3168

Enumeration DateAugust 8, 2012

✔ NPI 1104173244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OR · D6896✔ Licensed in OR · D9162

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

14800 KRUSE OAKS BLVD STE A, Lake Oswego, OR 97035

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayerle & Tydeman, LLC's NPI number?

The NPI number for Mayerle & Tydeman, LLC is 1104173244. It was assigned to this organization in the NPPES registry on August 8, 2012.

Where is Mayerle & Tydeman, LLC located?

Mayerle & Tydeman, LLC is located at 14800 Kruse Oaks Blvd Ste A, Lake Oswego, OR 97035. The listed phone number is (503) 684-2944.

What is Mayerle & Tydeman, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Mayerle & Tydeman, LLC was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.