MR. KEVIN M TATLOCK L.D.
NPI 1649381062
Denturist in Ontario, OR

Q: What is Kevin Tatlock's NPI number?

The NPI number for Kevin Tatlock is 1649381062. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Kevin Tatlock's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Tatlock was last updated on July 9, 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.

Active since August 31, 2006

473 SW 12TH ST, ONTARIO, OR 97914(541) 889-3282(541) 881-0653 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Kevin M Tatlock L.d. NPPES

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

MR. KEVIN M TATLOCK L.D. (NPI 1649381062) is an individual denturist in Ontario, Oregon, licensed in Oregon (DT-DO-854277) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649381062

Entity TypeIndividualMale

Primary Taxonomy122400000X

Provider Legal NameMR. KEVIN M TATLOCKCredential: L.D.

Location Address473 SW 12TH STOntario, OR 97914-3201

Mailing Address473 Sw 12th StOntario, OR 97914-3201 · (541) 889-3282 · Fax (541) 881-0653

Phone(541) 889-3282

Fax(541) 881-0653

Sole ProprietorYes

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1649381062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers

Taxonomy Code122400000X

License✔ Licensed in OR · DT-DO-854277

Definition

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

473 SW 12TH ST, Ontario, OR 97914

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Other Identifiers 1

Medicaid125851OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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 Kevin Tatlock's NPI number?

The NPI number for Kevin Tatlock is 1649381062. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Kevin Tatlock located?

Kevin Tatlock practices at 473 SW 12th St, Ontario, OR 97914. The listed phone number is (541) 889-3282.

What is Kevin Tatlock's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

What insurance does Kevin Tatlock accept?

Health plans from Humana list Kevin Tatlock 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 Kevin Tatlock was last updated on July 9, 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.