Tyler Tolbert, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN112346 Issued in GA

Practice address

5901 Peachtree Dunwoody Rd Ste B250
Atlanta, GA 30328-7150

Phone

(470) 713-6770

NPI assigned

Jun 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Valley Dentures and Implants- Chandler

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1609537455
  NPD

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1336718931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WATERS EDGE DR",
            "city": "LIZELLA",
            "state": "GA",
            "postal_code": "310523629",
            "telephone_number": "478-390-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD STE B250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287150",
            "telephone_number": "470-713-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5110 E Warner Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850443371",
            "country_code": "US",
            "telephone_number": "480-445-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "TYLER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN112346",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Elizabeth Tolbert
• Erica Tolbert, RBT
• Ethan Wade Tolbert, M.D.
• Lauren Tolbert, AUD
• Tiffany Tolbert, MEDICAL STUDENT
• Maria Tolcher, NPC
• Toledo Clinic Incorporated
• Andrew A Toledo, M.D.
• Jasmine Tolen
• Lisa M Toliver

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.