TYRER DENTISTRY, PA; NPI #1144461773

Contact Information

TYRER DENTISTRY, PA

2603 BROWN'S LANE
JONESBORO, AR 72401

Phone: 870-935-4060
Fax: 870-931-6715
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	1223G0001X

Indicates primary specialty

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NPI Profile & details for TYRER DENTISTRY, PA

NPI Number 1144461773

LBN Legal business name TYRER DENTISTRY, PA

Authorized official DEAN TYRER - (OWNER, DENTIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/11/2009

Last updated 03/11/2009 - About 17 years ago

Identifiers

AR	License #	2525
AR	Other	101-822-608	ARKIDS (MEDICAID FOR CHILDREN)

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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