Tyler Black, DMD
NPI 1063257053 · on the registry since 2024
Practice
- Address
- 835 N 700 E Ste 2
Provo, UT 84606 - Phone
- (801) 373-7700
- Organisation at this address
- Msg Dental Llc
Msg Dental Llc
Msg Dental LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah