Organization
TYLER C PRESTWICH DDS MS PLLC
Active
Other names
Prestwich Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER C PRESTWICH DDS, PHD, MS (OWNER)
(701) 852-2646
Entity
Organization
Contact information
Practice address
1015 S BROADWAY, SUITE 17, MINOT, ND 58701-4667
(701) 852-2646
Mailing address
1015 S BROADWAY, SUITE 17, MINOT, ND 58701-4667
(701) 852-2646
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2271
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465830
—
ND
Enumeration date
11/25/2015
Last updated
01/07/2021
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