Individual provider Active NPI

Tyler Garlisi

  • General Practice Dentistry
  • Dunkirk, MD
National Provider Identifier
1356877765
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16596 Issued in MD
Practice address
10085 Dunkirk Way Ste 202
Dunkirk, MD 20754-2025
Phone
(410) 257-2400
NPI assigned
May 4, 2017
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16596 MD Primary

Addresses

Primary practice location

10085 Dunkirk Way Ste 202
Dunkirk, MD 20754-2025

Mailing address

10085 Dunkirk Way Ste 202
Dunkirk, MD 20754-2025
Phone (410) 257-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16596MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dunkirk Dental Associates-Moy PA General Practice Past Accepting new patients
Dunkirk Dental Group General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1356877765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 DUNKIRK WAY STE 202",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542025",
            "telephone_number": "410-257-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DUNKIRK WAY STE 202",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542025",
            "telephone_number": "410-257-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLISI",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.