Individual
DR. TYLER BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
225 CRESCENT HILL PL APT 209, LOUISVILLE, KY 40206-2480
(502) 377-4362
Mailing address
225 CRESCENT HILL PL APT 209, LOUISVILLE, KY 40206-2480
(502) 377-4362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10945
KY
1223G0001X
General Practice Dentistry
12014121A
IN
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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