Whalio Doctors

NPI 1033484944

Tyler James Banachowski, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Melbourne, FL

Practice location

Address
2223 Sarno Rd, Melbourne, FL 32935-3003
Phone
(321) 425-2018

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN24505 (FL)
Dentist
Dental Providers Taxonomy 122300000X Licence DN24505 (FL)

Registry record

NPI
1033484944
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Mar 2012
Record last updated
6 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.