Individual
TYLER TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD STE B250, ATLANTA, GA 30328-7150
(470) 713-6770
Mailing address
164 WATERS EDGE DR, LIZELLA, GA 31052-3629
(478) 390-2616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN112346
GA
1223G0001X
General Practice Dentistry
D011070
AZ
Other
Enumeration date
06/18/2021
Last updated
06/21/2022
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