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

Tj Dyer, DDS

Individual provider Dentist · NPI 1376809129

Tj Dyer, DDS is a Maxillofacial Surgery in Madison, Wisconsin. Qualified in 2016, 10 years ago. Practices with Center for Oral and Maxillofacial Surgery SC, a 6-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Wisconsin.

Years since qualifying
10
Licensed in
MA, WI
In the registry since
2012
Specialties on file
2
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.

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Practice location Address checks out

7007 Old Sauk Rd
Madison, WI 53717-2307
Phone: (608) 819-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1001229-15 (WI)
Dentist Taxonomy 122300000X · Licence DL11594 (MA)

Record details

NPI number1376809129
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 5, 2012
Last updated in NPPESJanuary 23, 2017
Mailing address7007 Old Sauk Rd, Madison, WI 53717-2307

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Center For Oral And Maxillofacial Surgery Sc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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