1. Home
  2. Directory
  3. Texas
  4. Conroe
  5. Dentist
  6. NPI Profile

KENNETH K TYER SR. D.D.S.
NPI 1609883396
Dentist - General Practice in Conroe, TX

Active since August 02, 2006
2121 TIMBERLANE ST STE A, CONROE, TX 77301(936) 756-1443(936) 756-1406 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth K Tyer Sr. D.d.s. NPPES

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

KENNETH K TYER SR. D.D.S. (NPI 1609883396) is an individual general practice provider in Conroe, Texas, licensed in Texas (6762) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1609883396
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKENNETH K TYER SR.Credential: D.D.S.
Location Address2121 TIMBERLANE ST STE AConroe, TX 77301-1176
Mailing Address2121 Timberlane St Ste AConroe, TX 77301-1106 · (936) 756-1443 · Fax (936) 756-1406
Phone(936) 756-1443
Fax(936) 756-1406
Sole ProprietorYes
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609883396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 6762
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.
2121 TIMBERLANE ST STE A, Conroe, TX 77301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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 Kenneth Tyer's NPI number?

The NPI number for Kenneth Tyer is 1609883396. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Kenneth Tyer located?

Kenneth Tyer practices at 2121 Timberlane St Ste A, Conroe, TX 77301. The listed phone number is (936) 756-1443.

What is Kenneth Tyer's specialty?

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

What insurance does Kenneth Tyer accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kenneth Tyer 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 Kenneth Tyer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.