Individual provider · Type 1 NPI
Tyler J. Potter, DDS
Oral and Maxillofacial Surgery (Dentist) · Greenwood, IN
Practice location
1630 W Smith Valley Rd
Greenwood, IN 46142-1550
Fax (317) 882-2964
Mailing address
10972 Allisonville Rd, Suite 110
Fishers, IN 46038-2637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 12010184A (IN) |
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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Greenwood
About NPI 1992749402
Tyler J. Potter, DDS's National Provider Identifier is 1992749402, issued on Jun 15, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Greenwood, IN. The record was last updated on Aug 31, 2012.