Organization
TYLER HANIS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER HANIS DDS (OWNER)
(281) 797-6312
Entity
Organization
Contact information
Practice address
1058 FAIR ST, PRESCOTT, AZ 86305-1803
(281) 797-6312
Mailing address
3290 WILLOW BUTTE CIR, PRESCOTT, AZ 86301-8540
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
09/17/2025
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