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DR. TYSEN WOOD DMD
NPI 1205451598
Dentist - General Practice in Meridian, ID

Active since June 11, 2020
3877 E AMITY RD, MERIDIAN, ID 83642(208) 900-4669 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Aug 9, 2022, Jun 11, 2020 (3 updates tracked since 2020).

About Dr. Tysen Wood Dmd NPPES

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

DR. TYSEN WOOD DMD (NPI 1205451598) is an individual general practice provider in Meridian, Idaho, licensed in Wisconsin (1002293-15) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1205451598
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TYSEN WOODCredential: DMD
Location Address3877 E AMITY RDMeridian, ID 83642-8380
Mailing Address3877 E Amity RdMeridian, ID 83642-8380 · (208) 900-4669
Phone(208) 900-4669
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1205451598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 1002293-15
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.

3877 E AMITY RD, Meridian, ID 83642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Tysen Wood's NPI number?

The NPI number for Tysen Wood is 1205451598. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Tysen Wood located?

Tysen Wood practices at 3877 E Amity Rd, Meridian, ID 83642. The listed phone number is (208) 900-4669.

What is Tysen Wood's specialty?

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

What insurance does Tysen Wood accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Tysen Wood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tysen Wood was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.