Tyler Lane Carter in Chandler - Pediatric Dentistry

Tyler Lane Carter - NPI 1174700264

Tyler Lane Carter is a Pediatric Dentistry in Chandler, Arizona. Tyler Lane Carter practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Tyler Lane Carter is 1174700264. The last update date is 2008-01-30.

Tyler Lane Carter's current location address is 3220 S Gilbert Rd, Chandler, Arizona. You can contact this provider via phone number 4803889515. The mailing address for Tyler Lane Carter is 3220 S Gilbert Rd, Chandler, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Tyler Lane Carter
Address 3220 S Gilbert Rd, Chandler, Arizona
Phone Number 4803889515
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1174700264
Provider Enumeration Date 2008-01-30
Last Updated Date 2008-01-30

Provider Mailing Address Detail

Address 3220 S Gilbert Rd
City Chandler
State Arizona (AZ)
Post Code 852865109
Phone Number 4803889515
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D5929
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
955908 AR AHCCCS PROVIDER #

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FAQs about Tyler Lane Carter

What is the unique identifier code issued to Tyler Lane Carter by the Centers for Medicare & Medicaid Services (CMS)?

The Tyler Lane Carter has been assigned the NPI (National Provider Identifier) 1174700264. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Tyler Lane Carter is located?

The Tyler Lane Carter is situated at the following address: 3220 S Gilbert Rd, Chandler, AZ, 852865109.

What is the Tyler Lane Carter's specialty and taxonomy code?

The Tyler Lane Carter's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174700264 to Tyler Lane Carter?

The Centers for Medicare & Medicaid Services originally issued the 1174700264 to Tyler Lane Carter on 2008-01-30.

As of what date was the information regarding Tyler Lane Carter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tyler Lane Carter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-30.

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