TYLER NELSON DDS CORP. NPI 1134730914

NPI Information

NPI: 1134730914
Provider Name: TYLER NELSON, DDS, CORP.
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Organization
Address: 950 BOARDWALK STE 100
SAN MARCOS, CA
ZIP 92078
Phone: (760) 644-5494

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NPI Details

TYLER NELSON, DDS, CORP. is an oral and maxillofacial surgery dentist in San Marcos, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. TYLER NELSON, DDS, CORP. NPI is 1134730914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

950 BOARDWALK STE 100
SAN MARCOS, CA
ZIP 92078-600
Phone: (760) 644-5494

The provider's authorized official is Tyler Nelson .
The authorized official title is Owner and has the following contact phone number (719) 722-0540.

The enumeration date for this NPI number is 8/13/2020 and was last updated on 7/8/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790093599	OTHER		GUARDIAN, DELTA DENTAL, UNITED CONCORDIA

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: 11/21/2025

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