OrganizationActive
Mayerle & Tydeman, LLC
NPI 1104173244 · Dentist · Lake Oswego, OR
Mayerle & Tydeman, LLC is a Dentist organization in Lake Oswego, OR (NPI 1104173244).
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
14 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
Frequently asked questions
- What is Mayerle & Tydeman, LLC's NPI number?
- Mayerle & Tydeman, LLC's National Provider Identifier (NPI) is 1104173244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mayerle & Tydeman, LLC?
- Mayerle & Tydeman, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mayerle & Tydeman, LLC located?
- Mayerle & Tydeman, LLC's practice location on file with NPPES is 14800 Kruse Oaks Blvd Ste a, Lake Oswego, OR 97035-8671.
- What is Mayerle & Tydeman, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mayerle & Tydeman, LLC is (503) 684-2944.
- Who is the authorized official for Mayerle & Tydeman, LLC?
- The authorized official listed on Mayerle & Tydeman, LLC's NPPES record is Ian Tydeman, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mayerle & Tydeman, LLC's NPI active?
- Yes — Mayerle & Tydeman, LLC's NPI (1104173244) is active in the NPPES registry as of the last update on 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.