Individual
DR. TYLER JEFFREY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
370 MEDICAL DR STE B, CARMEL, IN 46032-2971
(317) 844-4155
Mailing address
3107 WILDMAN LN, CARMEL, IN 46032-8757
(970) 231-1896
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12012667A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2014
Last updated
03/17/2018
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