| Tyler Hanis Dds Pllc | |
|
1058 Fair St Prescott AZ 86305-1803 | |
| (281) 797-6312 | |
| Not Available |
| Full Name | Tyler Hanis Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1058 Fair St, Prescott, Arizona |
| Authorized Official Name and Position | Tyler Hanis (OWNER) |
| Authorized Official Contact | 2817976312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Hanis Dds Pllc 9645 E Tupelo Ave Mesa AZ 85212-9181 Ph: () - | Tyler Hanis Dds Pllc 1058 Fair St Prescott AZ 86305-1803 Ph: (281) 797-6312 |
| NPI Number | 1992689855 |
|---|---|
| Provider Enumeration Date | 08/04/2025 |
| Last Update Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992689855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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