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Contact Information

TYLER A DAVIS, DMD, MS
943 AVENIDA PICO UNIT A
SAN CLEMENTE, CA92673-3914
 Phone: 949-366-9555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for TYLER A DAVIS · (Male)

NPI Number 1548799661
Status Active
Credentials DMD, MS
Entity Individual
Enumeration date 06/12/2017
Last updated 07/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 106384
  • MO License # 2019003577
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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