Antonelli, Tyler
Antonelli, Tyler is an sole proprietor health care provider with primary practice located at 4175 S Alamo Ave , Davis-Monthan Afb AZ 85707. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Antonelli, Tyler can be contacted via phone (910) 619-6720.Contact Information
Primary practice address
4175 S Alamo Ave
Davis-Monthan Afb AZ 85707
Phone: (910) 619-6720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11977 | North Carolina |
Profile Details
| NPI number | 1073133393 |
|---|---|
| LBN Legal business name | Antonelli, Tyler |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2020 |
| Last updated | Sep 20th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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