IndividualActive
Carl Tyree, DDS
NPI 1780772665 · Pediatric Dentistry · Highland, IN
Provider details
- NPI number
- 1780772665
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12007389A (IN)
Specialties & taxonomies
Dental Providers
Practice location
2100 45th St
Highland, IN 46322-3742
Phone: (219) 924-4411
Fax: (219) 924-2314
Approximate (ZIP-level) locationGet directions
Mailing address
2100 45th St
Highland, IN 46322-3742
Additional practice locations (1)
- 800 Wall StValparaiso, IN 46383-2564Phone: (219) 462-6337Fax: (219) 462-8247
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2022-09-01
- Certified
- 2022-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.