Mesa, Tyler Roberto

Mesa, Tyler Roberto is an individual health care provider with primary practice located at 189 Greenbrier Blvd Ste A , Covington LA 70433-7297. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Mesa, Tyler Roberto can be contacted via phone (985) 892-5942.

Contact Information

Primary practice address
189 Greenbrier Blvd Ste A Covington LA 70433-7297
Phone: (985) 892-5942
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Pediatric Dentistry 1223P0221X 6855 Louisiana

Profile Details

NPI number 1134625114
LBN Legal business name Mesa, Tyler Roberto
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Jun 16th, 2020 - about 5 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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