Individual
TYLER JESTIN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(920) 431-2500
Mailing address
2513 S 3RD STREET PLZ, OMAHA, NE 68108-1709
(208) 360-0092
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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