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TYACK DENTAL GROUP
NPI 1578587192
Dentist - General Practice in Clatskanie, OR

Active since July 27, 2006
400 SW BEL AIR DR, CLATSKANIE, OR 97016(503) 728-2114 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyack Dental Group NPPES

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

TYACK DENTAL GROUP (NPI 1578587192) is a healthcare organization registered as a general practice in Clatskanie, Oregon and active in the NPI registry since July 2006. The organization lists James Hal Tyack, President, as its authorized official.

NPPES Registry Identity

NPI1578587192
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAMES H. TYACK DMD PC
Location Address400 SW BEL AIR DRClatskanie, OR 97016
Mailing AddressPo Box 749Clatskanie, OR 97016-0749 · (503) 728-2114
Phone(503) 728-2114
Organization SubpartNo
Authorized OfficialJames Hal TyackPresident · (503) 728-2114
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578587192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D5226
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.
400 SW BEL AIR DR, Clatskanie, OR 97016
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Other Names 1

Doing Business AsTyack Dental Group

Other Identifiers 2

Medicaid5043146WA
Medicaid199372OR

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

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 James H. Tyack Dmd PC's NPI number?

The NPI number for James H. Tyack Dmd PC is 1578587192. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Tyack Dental Group.

Where is James H. Tyack Dmd PC located?

James H. Tyack Dmd PC is located at 400 SW Bel Air Dr, Clatskanie, OR 97016. The listed phone number is (503) 728-2114.

What is James H. Tyack Dmd PC'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 James H. Tyack Dmd PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.