Dr Mary Tyler Ewald, DMD is a
Dentist - General Practice based in Fairdale,, Kentucky. Dr Mary Tyler Ewald is licensed to practice in Kentucky (license number 5271) and her current practice location is
508 Fairdale Road, Fairdale,, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 361-1872.
NPI number for Dr Mary Tyler Ewald is 1952523805 and her current mailing address is 508 Fairdale Road, Fairdale,, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952523805.
Healthcare Provider's Profile
Full Name | Dr Mary Tyler Ewald |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 508 Fairdale Road, Fairdale,, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952523805
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary Tyler Ewald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952523805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5271 (Kentucky) | 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 Mary Tyler Ewald 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 Address | Practice Location Address |
Dr Mary Tyler Ewald, DMD 508 Fairdale Road, Fairdale,, KY 40118 Ph: (502) 361-1872 | Dr Mary Tyler Ewald, DMD 508 Fairdale Road, Fairdale,, KY 40118 Ph: (502) 361-1872 |
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