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Active NPI 1477540813 Individual Practitioner Male Practitioner

Dr. Phillip Alan Tyndall , DDS

Dentist - General Practice • Ponca City, OK

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Tyndall, DDS is a registered healthcare professional specializing in Dentist - General Practice in Ponca City, OK. Practice services are available at 415 E HARTFORD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 E Hartford Ave

Ponca City, OK 746011512

Telephone 5807627857
Fax 5807622788
Associated Practice Facility / Clinic
🏢 Phillip A. Tyndall, Dds,pc Facility NPI 1265608749

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ponca City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Ponca City, OK (1496 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 OK 5342

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100126460A (OK)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2008

Registered at 415 E HARTFORD AVE, PONCA CITY, OK 746011512 (Tel: 5807627857)

📍
Updated Business Mailing Address April 24, 2008

Registered at 415 E HARTFORD AVE, PONCA CITY, OK 746011512 (Tel: 5807627857)

👤
Provider Name / Credentials Updated April 24, 2008

Recorded as PHILLIP TYNDALL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Dentist (License #5342 in OK)

🟢
Initial NPI Registration & Enumeration September 30, 2005

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: 1477540813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: April 24, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

415 E Hartford Ave

Ponca City, OK 746011512

Phone: 5807627857

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.