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Individual

DR. TYLER DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2674 PEOPLES ST STE 40, JOHNSON CITY, TN 37604-4160
(423) 434-1370
Mailing address
2674 PEOPLES ST STE 40, JOHNSON CITY, TN 37604-4160
(423) 434-1370

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401416486
VA
1223G0001X
General Practice Dentistry
Primary
11211
TN
1223G0001X
General Practice Dentistry
13056
NC

Other

Enumeration date
04/16/2018
Last updated
06/29/2024
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