Male or Other

Tye Z. Bauserman

General Practice Dentistry in Marietta, OH(View on Map)

Full Name

Tye Zerin Bauserman

NPI Number

1326537903

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/09/2018

Specialties

(Taxonomies)

Code

1223G0001X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

30.025370

Contact
Information

Purpose

Mailing
Location

Address

319 COLEGATE DR
319 COLEGATE DR

City

Marietta
Marietta

State

OH
OH

Postal Code

45750-9558
45750-9558

Country

US
US

Telephone Number

(740) 374-7060
(740) 374-7060

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/09/2018

Provider Address

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