DR. PAUL J TIERNAN DDS
NPI 1942309877
Dentist - Oral and Maxillofacial Surgery in Santa Rosa, CA

Active since September 21, 2006
30 DOCTORS PARK DR, SANTA ROSA, CA 95405(707) 546-4727(707) 546-3123 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Paul J Tiernan Dds NPPES

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

DR. PAUL J TIERNAN DDS (NPI 1942309877) is an individual oral and maxillofacial surgery provider in Santa Rosa, California, licensed in California (DA035787) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1942309877
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PAUL J TIERNANCredential: DDS
Location Address30 DOCTORS PARK DRSanta Rosa, CA 95405-6615
Mailing Address30 Doctors Park DrSanta Rosa, CA 95405-6615 · (707) 546-4727 · Fax (707) 546-3123
Fax(707) 546-3123
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1942309877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · DA035787
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

30 DOCTORS PARK DR, Santa Rosa, CA 95405

Other Identifiers 1

Medicare UPINU29295CA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942309877, enumerated as an "individual" on September 21, 2006.

The provider is located at 30 DOCTORS PARK DR SANTA ROSA, CA 95405 and the phone number is (707) 546-4727.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.