Davis, Tyler

Davis, Tyler is an sole proprietor health care provider with primary practice located at 50 S San Mateo Dr Ste 160 , San Mateo CA 94401-3859. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Davis, Tyler can be contacted via phone (650) 375-8300.

Contact Information

Primary practice address
50 S San Mateo Dr Ste 160 San Mateo CA 94401-3859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1855461 Massachusetts
Dental Providers / Pediatric Dentistry 1223P0221X DDS61391 California

Profile Details

NPI number 1790096154
LBN Legal business name Davis, Tyler
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2010
Last updated Dec 10th, 2021 - about 4 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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