DR. TYLER DAVIS DDS NPI 1255828356

NPI Information

  • NPI: 1255828356
  • Provider Name: DR. TYLER DAVIS, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2674 PEOPLES ST STE 40
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 434-1370

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NPI Details

DR. Tyler Davis, DDS is a general practice dentist in Johnson City, TN. 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. DR. Tyler Davis, DDS NPI is 1255828356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2674 PEOPLES ST STE 40
JOHNSON CITY, TN
ZIP 37604-160
Phone: (423) 434-1370

The NPI 1255828356 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/16/2018 and was last updated on 6/29/2024.

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
11223G0001XDentistGeneral Practice0401416486VIRGINIANo
21223G0001XDentistGeneral Practice13056NORTH CAROLINANo
31223G0001XDentistGeneral Practice11211TENNESSEEYes

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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