Individual
DR. TYLER JOHN PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5198 N NEVADA AVE STE 100, COLORADO SPRINGS, CO 80918-8649
(719) 634-8884
Mailing address
6644 CABIN CREEK DR, COLORADO SPRINGS, CO 80923-9220
(402) 699-9036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10444
CO
Other
Enumeration date
06/11/2011
Last updated
06/11/2011
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