Individual provider · Type 1 NPI
Tyler Dale Hanks, DMD, MPH
Pediatric Dentistry · Millcreek, UT
NPI number
1023545951
Active
Practice location
2435 E 3300 S, Suite 101
Millcreek, UT 84109
Other practice locations
- 1291 E Mcandrews Rd, Medford, OR 97504 · (541) 779-8923
- 1291 E Mcandrews Rd, Medford, OR 97504 · (541) 779-8923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | D11034 (OR) |
| Pediatric Dentistry Primary | 1223P0221X | 11651266-9923 (UT) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1023545951
Tyler Dale Hanks, DMD, MPH's National Provider Identifier is 1023545951, issued on May 23, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Millcreek, UT. The record was last updated on Oct 16, 2020.