Individual
DR. TYLEN K HADERLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5315 FOUNTAIN RD STE A, KNOXVILLE, TN 37918-3094
(865) 687-6763
(865) 688-8503
Mailing address
5315 FOUNTAIN RD STE A, KNOXVILLE, TN 37918-3094
(865) 687-6763
(865) 688-8503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2016017398
MO
Other
Enumeration date
06/15/2016
Last updated
09/11/2025
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