Tomkinson, Tyler

Tomkinson, Tyler is an individual health care provider with primary practice located at 13601 N Canterbury Dr , Phoenix AZ 85023. 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 / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Tomkinson, Tyler can be contacted via phone (480) 221-5080.

Contact Information

Primary practice address
13601 N Canterbury Dr Phoenix AZ 85023
Phone: (480) 221-5080
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 / Dentist Anesthesiologist 1223D0004X D10072 Arizona

Profile Details

NPI number 1841604659
LBN Legal business name Tomkinson, Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2014
Last updated Aug 31st, 2018 - about 6 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 1841604659 NPPES
Arizona MEDICAID 404557

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