Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891356184 Individual Practitioner Male Practitioner

Dr. Tyler Layton Hendricks , DDS

Dentist - General Practice • Boise, ID

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Hendricks, DDS is a registered healthcare professional specializing in Dentist - General Practice in Boise, ID. Practice services are available at 813 N STILSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

813 N Stilson Rd

Boise, ID 837035119

Telephone 2083424644
Fax 2083758208
Associated Practice Facility / Clinic
🏢 Gray Team Llc Facility NPI 1922489673

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Boise, ID (781 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 ID D-5062

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. Alexander Reimann , DDS

Dentist - General Practice

NPI 1578916029

Doctor of Dental Surgery

Dr. Tyson Gray , DMD

Dentist - General Practice

NPI 1659457885

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2019

Registered at 813 N STILSON RD, BOISE, ID 837035119 (Tel: 2083424644)

📍
Updated Business Mailing Address June 26, 2019

Registered at 813 N STILSON RD, BOISE, ID 837035119 (Tel: 2083424644)

👤
Provider Name / Credentials Updated June 26, 2019

Recorded as TYLER HENDRICKS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2019

Dentist (License #D-5062 in ID)

🟢
Initial NPI Registration & Enumeration June 26, 2019

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: 1891356184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2019
Last Update: June 26, 2019
Sole Proprietor: No

Mailing Address

813 N Stilson Rd

Boise, ID 837035119

Phone: 2083424644

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.