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

Dr. Tysen Wood, DMD

Individual provider General Practice Dentistry · NPI 1205451598

Dr. Tysen Wood, DMD is a General Practice Dentistry in Meridian, Idaho. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3877 E Amity Rd
Meridian, ID 83642-8380
Phone: (208) 900-4669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1002293-15 (WI)

Record details

NPI number1205451598
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

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