Individual
TYLER ELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 356-2256
Mailing address
660 S 200 E STE 250, SALT LAKE CITY, UT 84111-3846
(801) 359-2256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12730935-9921
UT
1223G0001X
General Practice Dentistry
D011074
AZ
Other
Enumeration date
08/03/2021
Last updated
03/25/2026
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