Organization
TYRER DENTISTRY, PA
Active
Other names
Tyrer Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN AUSTIN TYRER DDS (OWNER, DENTIST)
(870) 935-4060
Entity
Organization
Contact information
Practice address
2603 BROWN'S LANE, JONESBORO, AR 72401
(870) 935-4060
(870) 931-6715
Mailing address
2603 BROWN'S LANE, JONESBORO, AR 72401
(870) 935-4060
(870) 931-6715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2525
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101-822-608
ARKIDS (MEDICAID FOR CHILDREN)
AR
Enumeration date
03/11/2009
Last updated
03/11/2009
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