| Dr Carolyn Alice Tylenda, DMD | |
|
Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 | |
| (706) 787-6927 | |
| (706) 787-2082 |
| Full Name | Dr Carolyn Alice Tylenda |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | Bldg 38717 38th Street, Ft Gordon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811961493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 08166 (Maryland) | Primary |
| 1223D0001X | Dentist - Dental Public Health | 08166 (Maryland) | Secondary |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carolyn Alice Tylenda, DMD Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 Ph: (706) 787-6927 | Dr Carolyn Alice Tylenda, DMD Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905-5660 Ph: (706) 787-6927 |
Dr. Jeffrey Chai Chang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 38th Street, Bldg 38717, Usa Dentac, Ft Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2081 | |
Dr. Stevon Ronald Sykes, Dentist Medicare: Not Enrolled in Medicare Practice Location: Usa Dental Health Activity, Bldg 38801, Suite B&c, Ft Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082 | |
Dr. John William Mccann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082 | |
Dr. Daniel David Dunham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082 | |
Dr. Frederick Charles Bisch, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 38717, 38th Street, Usa Dentac, Ft Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082 | |
Dr. David Bentley Roberson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 38717 38th Street, Usa Dentac, Ft Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082 | |
Dr. Alan Burton Bronstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 38717, 38th Street, Usa Dentac, Ft Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082 |