Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN TYER, DDS
ActiveDental Public Health · SHREVEPORT, LA
Registration Details
- NPI Number
- 1225697196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2019 (6.8567012006287 yrs)
- Last Updated
- Jun 13, 2019
- License
-
6985 (LA)
Practice Information
- Address
-
275 KAYLA ST STE 100SHREVEPORT, LA, 711054257Browse LA providers · Browse ZIP 71105
- Phone
- 3188650530
- Primary Specialty
-
Dental Public Health
1223D0001X
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.