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DR. TYLER LANCE MATTHEW GOODRIDGE DDS
NPI 1124545017
Dentist - General Practice in Chapel Hill, NC

Active since August 23, 2017
88 VILCOM CENTER DR STE 190, CHAPEL HILL, NC 27514(919) 968-9806(919) 968-7799 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 16, 2021, Aug 23, 2017 (3 updates tracked since 2017).

About Dr. Tyler Lance Matthew Goodridge Dds NPPES

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

DR. TYLER LANCE MATTHEW GOODRIDGE DDS (NPI 1124545017) is an individual general practice provider in Chapel Hill, North Carolina, licensed in North Carolina (10832) and active in the NPI registry since August 2017. He maintains a secondary practice location in Cary.

NPPES Registry Identity

NPI1124545017
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TYLER LANCE MATTHEW GOODRIDGECredential: DDS
Location Address88 VILCOM CENTER DR STE 190Chapel Hill, NC 27514-1660
Mailing Address88 Vilcom Center Dr Ste 190Chapel Hill, NC 27514-1660 · (919) 968-9806 · Fax (919) 968-7799
Phone(919) 968-9806
Fax(919) 968-7799
Sole ProprietorYes
Enumeration DateAugust 23, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1124545017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 10832
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.
88 VILCOM CENTER DR STE 190, Chapel Hill, NC 27514
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Other Names 1

Professional Name (2)Dr. Tyler Goodridge, Pllc Dds

Secondary Practice Location 1

Location 11150 NW Maynard Rd Ste 120Cary, NC 27513-8709 · Phone (919) 462-3350 · Fax (919) 462-3360

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Tyler Goodridge's NPI number?

The NPI number for Tyler Goodridge is 1124545017. It was assigned to this individual provider in the NPPES registry on August 23, 2017. The provider is also known as Dr. Tyler Goodridge, PLLC Dds.

Where is Tyler Goodridge located?

Tyler Goodridge practices at 88 Vilcom Center Dr Ste 190, Chapel Hill, NC 27514. The listed phone number is (919) 968-9806.

What is Tyler Goodridge'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 Tyler Goodridge was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.