Organization · Type 2 NPI
Tyler Hanis DDS PLLC
Dental Clinic/Center · Prescott, AZ
NPI number
1992689855
Active
Practice location
1058 Fair St
Prescott, AZ 86305-1803
Mailing address
3290 Willow Butte Cir
Prescott, AZ 86301-8540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1992689855
Tyler Hanis DDS PLLC's National Provider Identifier is 1992689855, issued on Aug 4, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Prescott, AZ. The record was last updated on Sep 17, 2025.