Search › Missouri › 1223G0001X
Tyler Chancellor, DDS
NPI 1396314365 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4016 Lemay Ferry Rd
Saint Louis, MO 63129 - Phone
- (303) 305-4062
- Organisation at this address
- Simone Favor Dds Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-10
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 Missouri