OrganizationActive
Mayerle & Tydeman, LLC
NPI 1104173244 · Dentist · Lake Oswego, OR
Provider details
- NPI number
- 1104173244
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ian Tydeman, Dentist(503) 577-3168
- License
- D9162 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14800 Kruse Oaks Blvd Ste a
Lake Oswego, OR 97035-8671
Phone: (503) 684-2944
Fax: (503) 624-6335
Street-level locationGet directions
Mailing address
14800 Kruse Oaks Blvd Ste a
Lake Oswego, OR 97035-8671
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2012-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.