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

Mr. Kevin M Tatlock, LD

Individual provider Denturist · NPI 1649381062

Mr. Kevin M Tatlock, LD is a Denturist in Ontario, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

473 SW 12th St
Ontario, OR 97914-3201
Phone: (541) 889-3282
Fax: (541) 881-0653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DT-DO-854277 (OR)

Record details

NPI number1649381062
Entity typeIndividual (Type 1)
GenderMale
Credentials LD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 9, 2007

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