Individual
DR. TYLER JAMES HAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 256-7100
Mailing address
810 SCOTTSWOOD DR, MONUMENT, CO 80132-8443
(704) 575-0398
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10285
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN00205551
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS041512
PA
Other
Enumeration date
08/25/2017
Last updated
09/18/2023
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