DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TYLER JAMES BANACHOWSKI, DDS

Active Sole Proprietor

DR. TYLER JAMES BANACHOWSKI, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in TAMPA, Florida. NPI 1033484944 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · TAMPA, FL

Registration Details

NPI Number
1033484944
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2012 (14.408245075333 yrs)
Last Updated
Sep 13, 2019
Licenses
9283 (NC)
DN24505 (FL)
Sole Proprietor
Yes

Practice Information

Address
3250 ZEMKE AVE
TAMPA, FL, 33621
Browse FL providers · Browse ZIP 33621
Phone
8138279400
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in TAMPA, FL

Name Credential NPI
DR. ALYSSA GAIL MANSKI MD, DDS 1609302207
DR. MOHAMED EL-RABBANY DDS 1528653383
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.