Individual
TYLER M ADAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
X2
Contact information
Practice address
8472 SIMMOND ST, FORT GEORGE G MEADE, MD 20755-5700
(910) 644-4811
Mailing address
8472 SIMMOND ST, FORT GEORGE G MEADE, MD 20755-5700
(217) 899-5411
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
08/21/2024
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