Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366836835 Individual Practitioner Male Practitioner

Dr. Tyler Brent Whiting , DMD, BS

Dentist - Pediatric Dentistry • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Whiting, DMD, BS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Eugene, OR. Practice services are available at 4122 QUEST DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4122 Quest Dr

Eugene, OR 97402

Telephone 5418441667
Fax 5415058463
Associated Practice Facility / Clinic
🏢 Eugene Kids' Dentist, Llc Facility NPI 1366738858

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Eugene, OR (180 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License OR 10985

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License AZ D009666

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License
D09666 (AZ)
Commercial Insurance / Payer ID Dental License
D10985 (OR)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Timothy Richardson , DDS

Dentist - Pediatric Dentistry

NPI 1184855967

Doctor of Dental Surgery

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location July 19, 2019

Registered at 4122 QUEST DR, EUGENE, OR 97402 (Tel: 5418441667)

📍
Updated Business Mailing Address July 19, 2019

Registered at 4122 QUEST DR, EUGENE, OR 974028768 (Tel: 5418441667)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2019

Dentist (License #10985 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2017

Registered at 10750 W MCDOWELL RD STE F610, AVONDALE, AZ 853925976 (Tel: (480) 343-2541)

📍
Updated Business Mailing Address June 21, 2017

Registered at 10750 W MCDOWELL RD STE F610, AVONDALE, AZ 853925976 (Tel: (480) 343-2541)

👤
Provider Name / Credentials Updated June 21, 2017

Recorded as TYLER WHITING, DMD, BS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Dentist (License #D009666 in AZ)

NPI Profile Active March 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2015

Registered at 19866 SW YOCOM LN, ALOHA, OR 970075814 (Tel: 4803432541)

📍
Updated Business Mailing Address March 23, 2015

Registered at 19866 SW YOCOM LN, ALOHA, OR 970075814 (Tel: 4803432541)

👤
Provider Name / Credentials Updated March 23, 2015

Recorded as TYLER WHITING, DMD, BS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 2015

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: 1366836835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2015
Last Update: July 19, 2019
Sole Proprietor: No

Mailing Address

4122 Quest Dr

Eugene, OR 974028768

Phone: 5418441667

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.