Individual provider · Type 1 NPI

Tyler Shank

Oral and Maxillofacial Surgery (Dentist) · Urbana, IL

NPI number 1861319261 Active

Practice location

601 E University Ave
Urbana, IL 61802-2029

Call (217) 383-3311 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X018.012589 (IL)

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 1861319261

Tyler Shank's National Provider Identifier is 1861319261, issued on Jul 6, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Urbana, IL. The record was last updated on Jul 6, 2026.