Individual
DR. TYLER J HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
207 W GORE ST STE 302, ORLANDO, FL 32806-1014
(407) 839-8407
(407) 839-8446
Mailing address
207 W GORE ST STE 302, ORLANDO, FL 32806-1014
(407) 839-8407
(407) 839-8446
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7135
NE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN25920
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7135
NE
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME144719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105884500
—
FL
Enumeration date
06/20/2013
Last updated
01/08/2024
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