Dr Tyler Russell Johansen, DMD - Dentist in Beaufort, SC

Dr Tyler Russell Johansen, DMD is a Dentist based in Beaufort, South Carolina. Dr Tyler Russell Johansen is licensed to practice in Pennsylvania (license number DS039183) and his current practice location is 674 Blvd De France, Beaufort, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 228-3500.

NPI number for Dr Tyler Russell Johansen is 1568718146 and his current mailing address is 48 Cedar Creek Cir, Beaufort, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568718146.

Contact Information

Dr Tyler Russell Johansen, DMD
674 Blvd De France,
Beaufort, SC 29905
(843) 228-3500
Not Available



Healthcare Provider's Profile

Full NameDr Tyler Russell Johansen
GenderMale
SpecialityDentist
Location674 Blvd De France, Beaufort, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568718146
  • Provider Enumeration Date: 08/01/2012
  • Last Update Date: 08/01/2012

Medical Identifiers

Medical identifiers for Dr Tyler Russell Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568718146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DS039183 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler Russell Johansen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tyler Russell Johansen, DMD
48 Cedar Creek Cir,
Beaufort, SC 29906-3000

Ph: (530) 276-3389
Dr Tyler Russell Johansen, DMD
674 Blvd De France,
Beaufort, SC 29905

Ph: (843) 228-3500

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Dentist in Beaufort, SC

Dr. Jeremy Robert Gies, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902
Phone: 843-228-3500    
Dr. Taylor Spence Turner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1274 Ribaut Rd, Beaufort, SC 29902
Phone: 843-524-6363    
Douglas Roger Gillett, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort, Attn:prof Affairs Coordinator, Beaufort, SC 29902
Phone: 843-228-5577    Fax: 843-228-5196
Kurt John Breiling, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort Attn Professional Affairs Coord, Beaufort, SC 29902
Phone: 843-228-5577    Fax: 843-228-5196
Dr. Duy Thien Vinh Truong, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902
Phone: 843-228-5600    
Dr. Jeffrey B Ryba, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort, Beaufort, SC 29902
Phone: 843-228-5200    
Dr. David Paul Babb, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 109 Sea Island Pkwy, Beaufort, SC 29907
Phone: 843-525-1113    

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