Michael L Tyler, DDS
Individual provider Active NPI General Practice Dentistry · Mt Pleasant, TN
NPI 1902909385 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902909385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4217 (TN)
- Practice address
- 703 North Main Street
Mt Pleasant, TN 38474-1015 - Phone
- (931) 379-7711
- Fax
- (931) 379-7729
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4217 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tailwater Practice Partners | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4217 | TN | Yes |
Addresses
Primary practice location
703 North Main Street
Mt Pleasant, TN 38474-1015
Mailing address
703 North Main Street
Mt Pleasant, TN 38474-1015
Phone (931) 379-7711
Other providers in Mt Pleasant, TN
- Kelly J Snyder
- Mary Alice Spaulding
- Ryan Richard Sullivan
- Tailwater Practice Partners
- Tadd T Thompson
- Bobby Underwood
- Walgreen Co
- Jykedrin Dantrel Wilson
- Martha Kristin Woodside
- Jennifer Lynn Wright
All providers in Mt Pleasant, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.