ROBERT P. TYRRELL, D.D.S.
NPI 1104207927
Dentist - General Practice in Kemmerer, WY

Active since June 17, 2015
1702 ANTELOPE STREET, KEMMERER, WY 83101(307) 877-4715(307) 877-3475 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert P. Tyrrell, D.d.s. NPPES

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

ROBERT P. TYRRELL, D.D.S. (NPI 1104207927) is a healthcare organization registered as a general practice in Kemmerer, Wyoming and active in the NPI registry since June 2015. The organization lists Rachel Wood, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104207927
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROBERT P. TYRRELL, D.D.S.
Location Address1702 ANTELOPE STREETKemmerer, WY 83101-3900
Mailing AddressPo Box 228Kemmerer, WY 83101-0228 · (307) 877-4715 · Fax (307) 877-3475
Fax(307) 877-3475
Organization SubpartNo
Authorized OfficialRachel WoodOffice Manager · (307) 877-4715
Enumeration DateJune 17, 2015
NPI 1104207927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WY · 813
Definition

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.

1702 ANTELOPE STREET, Kemmerer, WY 83101

Other Identifiers 1

Medicaid116184900WY

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1702 ANTELOPE STREET
KEMMERER, WY 83101

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 Robert P. Tyrrell, D.D.S.'s NPI number?

The NPI number for Robert P. Tyrrell, D.D.S. is 1104207927. It was assigned to this organization in the NPPES registry on June 17, 2015.

Where is Robert P. Tyrrell, D.D.S. located?

Robert P. Tyrrell, D.D.S. is located at 1702 Antelope Street, Kemmerer, WY 83101. The listed phone number is (307) 877-4715.

What is Robert P. Tyrrell, D.D.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Robert P. Tyrrell, D.D.S. was last updated on June 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.