DR. Richard Tye, D.D.S.

NPI #1174505663 in Evanston, Illinois

Provider Information

NPI Number: 1174505663
Entity Type: Individual
Name: DR. Richard Tye, D.D.S.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 18, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1800 SHERMAN AVE
Address 2: SUITE 601
City: Evanston
State: Illinois
ZIP Code: 60201-3777
Phone: (847) 492-3492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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