Individual
TYLER J POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1630 W SMITH VALLEY RD, GREENWOOD, IN 46142-1550
(317) 882-3370
(317) 882-2964
Mailing address
10972 ALLISONVILLE RD, SUITE 110, FISHERS, IN 46038-2637
(317) 913-2363
(317) 913-2360
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010184A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200449320
—
IN
Enumeration date
06/15/2006
Last updated
08/31/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us