Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER ANTONELLI, DDS
Active Sole ProprietorTYLER ANTONELLI, DDS is a Dentist healthcare provider located in DAVIS-MONTHAN AFB, Arizona. NPI 1073133393 is currently active in the NPPES registry. Verify at CMS.
Dentist · DAVIS-MONTHAN AFB, AZ
Registration Details
- NPI Number
- 1073133393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2020 (6.2989211737602 yrs)
- Last Updated
- Sep 20, 2021
- License
-
11977 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4175 S ALAMO AVEDAVIS-MONTHAN AFB, AZ, 85707Browse AZ providers · Browse ZIP 85707
- Phone
- 9106196720
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in DAVIS-MONTHAN AFB, AZ
| Name | Credential | NPI |
|---|---|---|
| ALEXA BERGREN | DDS | 1083277974 |
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.