NPI 1104194828 · live from the CMS NPI Registry
Tyson F Buck, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Klamath Falls, OR. National Provider Identifier 1104194828, active.
NPI record
| NPI | 1104194828 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1821 Austin St, Klamath Falls, OR 97603 |
| Practice phone | 541-882-4461 |
| Enumerated | December 8, 2011 |
| Last updated | April 23, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | d9372 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.