Individual
TYLER BOUTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2423 SCHILLINGER RD S STE 104, MOBILE, AL 36695-4142
(251) 634-2345
Mailing address
99 KNEELAND ST APT 306, BOSTON, MA 02111-2432
(337) 579-8282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007547-C1
AL
Other
Enumeration date
06/17/2024
Last updated
09/18/2025
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