Davis, Tyler A

Davis, Tyler A is an individual health care provider with primary practice located at 943 Avenida Pico Unit A , San Clemente CA 92673-3914. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Davis, Tyler A can be contacted via phone (949) 366-9555.

Contact Information

Primary practice address
943 Avenida Pico Unit A San Clemente CA 92673-3914
Phone: (949) 366-9555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 2019003577 Missouri
Dental Providers / Endodontics 1223E0200X 106384 California

Profile Details

NPI number 1548799661
LBN Legal business name Davis, Tyler A
Credentials DMD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Jul 30th, 2021 - about 3 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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