Tyler Prentice, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9065 Issued in TN

Practice address

7003 Shallowford Rd
Chattanooga, TN 37421-6722

Phone

(423) 855-4201

Fax

(423) 855-4203

NPI assigned

Apr 20, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scenic City Orthodontics of Dalton

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dalton, GA
  • NPI 1932840048
  NPD Authorized official
• Affordable Smiles PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chattanooga, TN
  • NPI 1376027862
  NPD
• Scenic City Smiles PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cleveland, TN
  • NPI 1275355059
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1164748893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-855-4201",
            "fax_number": "423-855-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-855-4201",
            "fax_number": "423-855-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "9065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Sleep Center, LLC
• Premier Sleep Diagnostic Centers II, LLC
• Premise Health of Tennessee Medical PC
• John Whitman Prenshaw, M.D.
• Karyn Leigh Prenshaw, M.D.
• Jennifer Presley, RBT
• Prestige Home Wellness Solutions LLC
• Robin G Preston, R.N.
• Luckson Previl, O.D.
• Destiny Previlus

• Orthodontics and Dentofacial Orthopedics Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.