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Deactivated NPI 1528347218 Deactivated / Inactive NPI Female Practitioner

Dr. Kelley Elizabeth Tyler , DMD

Dentist - General Practice • Wethersfield, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kelley Tyler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2011
NPI Deactivation Date March 24, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kelley Tyler, DMD was a registered Dentist - General Practice practicing in Wethersfield, CT. Throughout an active medical career spanning 12 years, Dr. Tyler provided care at the practice location at 65 GARDEN ST until profile deactivation on 2023-03-24.

Practice Location & Contact Primary Location

Practice Address

65 Garden St

Wethersfield, CT 061093119

Telephone 8605634058
Associated Practice Facility / Clinic
🏢 Shapiro Family Dentistry Llc Facility NPI 1073670600

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wethersfield, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
21 Specialists

Practicing in Wethersfield, CT (1821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 10558

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Bernard Shapiro , DDS

Dentist - General Practice

NPI 1023011780

Doctor of Dental Surgery

Dr. Aileen Zaydel , DMD

Dentist - General Practice

NPI 1235679465

Doctor of Dental Medicine

NPI 1396490546

Doctor of Dental Surgery

Dr. Neil Shapiro , DMD

Dentist - General Practice

NPI 1841622446

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 24, 2023

Record deactivated on March 24, 2023

NPI Profile Active May 29, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2013

Registered at 65 GARDEN ST, WETHERSFIELD, CT 061093119 (Tel: 8605634058)

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Updated Business Mailing Address May 29, 2013

Registered at 382 OLD MAIN ST, ROCKY HILL, CT 060671508 (Tel: 8602094317)

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Provider Name / Credentials Updated May 29, 2013

Recorded as KELLEY TYLER, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2013

Dentist (License #10558 in CT)

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Initial NPI Registration & Enumeration August 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528347218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2011
Last Update: May 29, 2013
Deactivation Date: March 24, 2023

Mailing Address

382 Old Main St

Rocky Hill, CT 060671508

Phone: 8602094317

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.