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

Tyler James Deitrick, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295439578

Tyler James Deitrick, DDS is a Student in an Organized Health Care Education/Training Program in Cincinnati, Ohio. Registered with an NPI since 2023.

In the registry since
2023
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

234 Goodman St
Cincinnati, OH 45219-2364
Phone: (513) 584-2586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295439578
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing addressUniversity Of Cincinnati College Of Medicine 231 Albert, Cincinnati, OH 45267-0001

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