Individual
TYLER JOSEPH BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2665 DONAGHEY AVE STE 112, CONWAY, AR 72032-2318
(501) 450-7066
Mailing address
2 PINECREST LN, MAUMELLE, AR 72113-6121
(501) 680-5405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4750
AR
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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