Doctor Name: | DR. TYLER S READING |
NPI Number: | 1265530778 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D. |
License Number: | 70157999923 |
Business Practice Address: | 3540 S 4000 W Suite 440 West Valley, UT - 841203260 |
Business Phone Number: | 8019555200 |
Business Fax Number: | 8019551707 |
Mailing Address: | 3540 S 4000 W, Suite 440 WEST VALLEY |
State: | UT |
Postal Code: | 841203260 |
Phone Number: | 8019555200 |
Fax Number: | 8019551707 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 70157999923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |