Search › Florida › 122300000X
Tyler Stidham, DMD, MBA
NPI 1770272163 · on the registry since 2023 · sole proprietor
Practice
- Address
- 516 Island View Dr
Fernandina Beach, FL 32034 - Phone
- (740) 935-4258
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- OH, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-03
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 Florida