Individual
TYLER RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3140 STILLWATER DR STE B, PRESCOTT, AZ 86305-7105
(801) 888-1163
Mailing address
3140 STILLWATER DR STE B, PRESCOTT, AZ 86305-7105
(928) 445-8980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012511
AZ
Other
Enumeration date
11/04/2024
Last updated
03/23/2026
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