# TYLER L SMITH FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336376409
- **Authorized official:** DR. TYLER L SMITH D.D.S. (PRESIDENT)
- **Authorized official phone:** (402) 932-9349

## Contact information

- **Practice address:** 17940 WELCH PLZ, SUITE 106, OMAHA, NE 68135-3594
- **Practice address phone:** (402) 932-9349
- **Practice address fax:** (402) 505-8503
- **Mailing address:** 17940 WELCH PLZ, SUITE 106, OMAHA, NE 68135-3594
- **Mailing address phone:** (402) 932-9349
- **Mailing address fax:** (402) 505-8503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6822 | NE | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 06/16/2009