Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tylen K Haderlie, DDS

Individual provider Dentist · NPI 1558711010

Dr. Tylen K Haderlie, DDS is a Dentist in Knoxville, Tennessee. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

5315 Fountain Rd Ste A
Knoxville, TN 37918-3094
Phone: (865) 687-6763
Fax: (865) 688-8503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 — (315) 772-6234

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2016017398 (MO)

Record details

NPI number1558711010
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESSeptember 11, 2025
Certification dateJune 26, 2024

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