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
Phone: (650) 375-8300
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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