Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326697822 Individual Practitioner Female Practitioner

Dr. Tysa Marie Judd , DMD

Dentist • Bozeman, MT

Professional Overview & Biography Verified Profile Summary

Dr. Tysa Judd, DMD is a registered healthcare professional specializing in Dentist in Bozeman, MT. Practice services are available at 1700 W KOCH ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 W Koch St Ste 1

Bozeman, MT 597154148

Telephone 4065864559
Associated Practice Facility / Clinic
🏢 Moos Dental Of Montana Pllc Facility NPI 1497540777

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bozeman, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 51.5 Yrs
Regional Practice Density
17 Specialists

Practicing in Bozeman, MT (291 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: 2024-09-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MT DENDENLIC25828

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D11097

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

1 Associated Practitioners
NPI 1043306160

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 30, 2024

Registered at 1700 W KOCH ST STE 1, BOZEMAN, MT 597154148 (Tel: 4065864559)

📍
Updated Business Mailing Address September 30, 2024

Registered at 1700 W KOCH ST STE 1, BOZEMAN, MT 597154148 (Tel: 4065864559)

📍
Updated Practice Location September 19, 2023

Registered at 5 SUNRISE LOOP #C, ENNIS, MT 59729 (Tel: 4066823310)

📍
Updated Business Mailing Address September 19, 2023

Registered at 5 SUNRISE LOOP #C, ENNIS, MT 59729 (Tel: 4066823310)

👤
Provider Name / Credentials Updated September 19, 2023

Recorded as TYSA JUDD, DMD

NPI Profile Active September 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2019

Registered at 1010 MAIN AVE, TILLAMOOK, OR 971413818 (Tel: 5036732676)

📍
Updated Business Mailing Address September 06, 2019

Registered at 1010 MAIN AVE, TILLAMOOK, OR 971413818 (Tel: 5036732676)

👤
Provider Name / Credentials Updated September 06, 2019

Recorded as TYSA JUDD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2019

Dentist (License #D11097 in OR)

🟢
Initial NPI Registration & Enumeration September 06, 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: 1326697822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2019
Last Update: September 30, 2024
Sole Proprietor: Yes

Mailing Address

1700 W Koch St Ste 1

Bozeman, MT 597154148

Phone: 4065864559

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.