Wildey, Tyler Craig
Wildey, Tyler Craig is an individual health care provider with primary practice located at 711 W 38Th St Suite A-1, Austin TX 78705-1121. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Dentist is his primary health care specialty. Wildey, Tyler Craig can be contacted via phone (512) 498-0104.Contact Information
Primary practice address
711 W 38Th St Suite A-1
Austin TX 78705-1121
Phone: (512) 498-0104
Fax: (512) 498-0150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 27458 | Texas |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 0 | Texas |
Profile Details
NPI number | 1629320353 |
---|---|
LBN Legal business name | Wildey, Tyler Craig |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2012 |
Last updated | Apr 9th, 2017 - about 8 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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