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TYRER DENTISTRY PA NPI 1144461773


NPI Information

NPI: 1144461773
Provider Name: TYRER DENTISTRY, PA

Doing Business As: TYRER DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2603 BROWN'S LANE
JONESBORO, AR
ZIP 72401
Phone: (870) 935-4060
Get Directions

TYRER DENTISTRY, PA is a general practice dentist in Jonesboro, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TYRER DENTISTRY, PA NPI is 1144461773. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tyrer Dental Care.

The provider's business location address is:

2603 BROWN'S LANE
JONESBORO, AR
ZIP 72401
Phone: (870) 935-4060
Fax: (870) 931-6715

The provider's authorized official is Dean Austin Tyrer .
The authorized official title is Owner, Dentist and has the following contact phone number (870) 935-4060.

The enumeration date for this NPI number is 3/11/2009 and was last updated on 3/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice2525ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101-822-608OTHERARKANSASARKIDS (MEDICAID FOR CHILDREN)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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