DR. TYLER RUSSELL JOHANSEN (NPI# 1568718146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568718146 |
| Entity Type | Individual |
| Full Name | DR. TYLER RUSSELL JOHANSEN |
| Credential | DMD |
| Practice Address |
674 Blvd De France Beaufort SC 29905 |
| Mailing Address |
48 Cedar Creek Cir Beaufort SC 29906-3000 |
| Practice Telephone | 8432283500 |
| Mailing Telephone | 5302763389 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS039183 | PA | Dental Providers |
| Street Address |
674 BLVD DE FRANCE |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1639723208 | James Jordan Kline | Dentist | Parris Island, Dental Clinic, Fpo, AA 29905 | 2019-07-31 |
| 1922531466 | Karl Kingry | Student in an Organized Health Care Education/Training Program | Bldg #598 Geiger Blvd, Beaufort, SC 29905 | 2017-04-11 |
| 1821405754 | Kevin Michael Haiar | Dentist | 674 Boulevard De France, Building #674, Parris Island, SC 29905 | 2014-07-11 |
| 1093060410 | Nicholas George Ressel | Dentist | 674 Boulevard De France, Parris Island, SC 29905 | 2012-07-23 |
| 1033407903 | Ryan Dennis Mehrer | Dentist | Mcrd Parris Island, Fpo, AA 29905 | 2011-07-13 |
| 1710215520 | James Reid | Psychologist | 670 Blvd De France, Parris Island, SC 29905 | 2009-12-07 |
| 1629303243 | Natalie Ranee Wilcox | Dentist | Mcrd, Parris Island, SC 29905 | 2009-10-15 |
| 1619139508 | William Michael Duensing | Dentist | Mcrd-dental Bldg 674, Parris Island, SC 29905 | 2008-07-01 |
| 1205029147 | Jocelyn Marie Herman | Optometrist | Bhc, M Bldg. 669, Parris Island, SC 29905 | 2007-08-23 |
| Find all providers in zip 29905 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1720598659 | Samuel Eric Pope | Dentist | 51 Saluda Way, Beaufort, SC 29906-6006 | 2017-10-05 |
| 1679029904 | Evan Lee Rurak | Dentist | 337 Savannah Highway, Unit 511, Beaufort, SC 29906-6738 | 2016-08-28 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1174937270 | Paul Stevens | Dentist | 422 Ashton Pointe Blvd, Beaufort, SC 29906-6016 | 2014-06-17 |
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1386892628 | Christopher George Sellers | Dentist | 1 Pinckney Blvd Box 6216a, Naval Hospital Beaufort, Beaufort, SC 29902-6148 | 2008-08-28 |
| 1528106705 | Kyle J Farnsworth | Dentist | 102 Sea Island Pkwy, Suite J, Beaufort, SC 29907-1563 | 2007-02-01 |
| 1831247451 | Gerald Riddle Cummings | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907-1500 | 2007-01-08 |
| 1841388626 | Linda Patterson Swain | Dentist | 200 Lockhart Ln, Beaufort, NC 28516-1592 | 2006-10-10 |
| Find all providers in BEAUFORT | ||||
Please comment or provide details below to improve the information on DR. TYLER RUSSELL JOHANSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.