Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821583782 Individual Practitioner Male Practitioner

Dr. Tyler Keith Lipham , DMD

Dentist - General Practice • Monticello, GA

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Lipham, DMD is a registered healthcare professional specializing in Dentist - General Practice in Monticello, GA. Practice services are available at 458 W WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

458 W Washington St

Monticello, GA 310641368

Telephone 7064686394
Fax 7064688113
Associated Practice Facility / Clinic
🏢 Monticello Family Dentistry Facility NPI 1679340368

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Monticello, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Monticello, GA (3302 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

CMS Verified: 2023-12-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN015668

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

2 Associated Practitioners
Dr. Jamie Mitchell , DMD

Dentist - General Practice

NPI 1144293457

Doctor of Dental Medicine

NPI 1558194829

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location December 04, 2023

Registered at 458 W WASHINGTON ST, MONTICELLO, GA 310641368 (Tel: 7064686394)

NPI Profile Active June 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2018

Registered at 1805 EPPS BRIDGE PKWY STE 101, ATHENS, GA 306066145 (Tel: 7065049318)

📍
Updated Business Mailing Address June 24, 2018

Registered at 120 DELL AVE, ATHENS, GA 306063406

👤
Provider Name / Credentials Updated June 24, 2018

Recorded as TYLER LIPHAM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2018

Dentist (License #DN015668 in GA)

🟢
Initial NPI Registration & Enumeration June 24, 2018

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: 1821583782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2018
Last Update: December 04, 2023
Sole Proprietor: No

Mailing Address

120 Dell Ave

Athens, GA 306063406

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.