Micah John Tyberg, D.D.S is a student in an organized health care education training program in Denver, CO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Micah John Tyberg, D.D.S NPI is 1750616520. 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:
1055 CLERMONT ST
DENVER, CO
ZIP 80220-808
Phone: (303) 393-2823
The enumeration date for this NPI number is 10/12/2009 and was last updated on 10/12/2009.