Individual provider · Type 1 NPI

Tyler Don Horton, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · Raleigh, NC

NPI number 1104387117 Active

Practice location

1401 Sunday Dr Ste 109
Raleigh, NC 27607-5173

Mailing address

133 Boarstall Crk
Durham, NC 27707-9608

Other practice locations

  • 280 Rocky Slope Rd, Greenville, SC 29607-3908 · (541) 280-1590

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XTBD (NC)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X97574 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist 122300000X11603 (SC)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X11609 (SC)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X03947 (NC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104387117

Tyler Don Horton, DMD, MD's National Provider Identifier is 1104387117, issued on Mar 31, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Raleigh, NC. The record was last updated on Oct 23, 2026.