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DR. MARY TYLER EWALD D.M.D.
NPI 1952523805
Dentist - General Practice in Fairdale,, KY

Active since May 02, 2007
508 FAIRDALE ROAD, FAIRDALE,, KY 40118(502) 361-1872(502) 363-0539 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Mary Tyler Ewald D.m.d. NPPES

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

DR. MARY TYLER EWALD D.M.D. (NPI 1952523805) is an individual general practice provider in Fairdale,, Kentucky, licensed in Kentucky (5271) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1952523805
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY TYLER EWALDCredential: D.M.D.
Location Address508 FAIRDALE ROADFairdale,, KY 40118
Mailing Address508 Fairdale RoadFairdale,, KY 40118 · (502) 361-1872 · Fax (502) 363-0539
Phone(502) 361-1872
Fax(502) 363-0539
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952523805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 5271
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.
508 FAIRDALE ROAD, Fairdale,, KY 40118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAUGHMAN & EWALD, P.S.C.
Point of Service
508 FAIRDALE ROAD
FAIRDALE,, KY 40118
Jefferson County (502) 361-1872

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 Mary Ewald's NPI number?

The NPI number for Mary Ewald is 1952523805. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Mary Ewald located?

Mary Ewald practices at 508 Fairdale Road, Fairdale,, KY 40118. The listed phone number is (502) 361-1872.

What is Mary Ewald's specialty?

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

What insurance does Mary Ewald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 5 other insurers list Mary Ewald 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 Mary Ewald 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.