Individual
DR. TYLER ANSLEY BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163-2005
(901) 448-9942
Mailing address
875 UNION AVE FL 3, MEMPHIS, TN 38163-4601
(205) 234-5037
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
06/26/2025
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