Carter, Tyler Lane

Carter, Tyler Lane is an sole proprietor health care provider with primary practice located at 3220 S Gilbert Rd Suite#1, Chandler AZ 85286-5109. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Carter, Tyler Lane can be contacted via phone (480) 388-9515.

Contact Information

Primary practice address
3220 S Gilbert Rd Suite#1 Chandler AZ 85286-5109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D5929 Arizona

Profile Details

NPI number 1174700264
LBN Legal business name Carter, Tyler Lane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174700264 NPPES
Arkansas Other 955908 AHCCCS PROVIDER #

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