NPI 1033524434

Tyler Melzer, DMD

Practitioner General Practice Dentistry Bozeman, MT

Practice location

Address: 4265 Fallon St Suite #2, Bozeman, MT 59718-6797
Phone: (406) 587-7411
Fax: (406) 587-2357

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DEN-DEN-LIC-7794 (MT)

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Registry record

NPI: 1033524434
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2014
Record last updated: 24 Jun 2014

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.