Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr TYLER J BANACHOWSKI in TAMPA, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dentist |
122300000X |
| NPI Number | 1033484944 |
|
| Status | Active | |
| Credentials | DDS (Doctor of Dental Surgery) | |
| Entity | Individual | |
| Enumeration date | 03/12/2012 | |
| Last updated | 09/13/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TYLER J BANACHOWSKI
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TYLER J BANACHOWSKI, DDS