Search › Arizona › 122300000X
Tyler Hanis
NPI 1710728621 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1058 Fair St Ste A
Prescott, AZ 86305 - Phone
- (928) 776-0606
- Organisation at this address
- Tyler Hanis Dds Pllc
Michele A. Bibeau, D.D.S.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-17
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 Arizona