Whalio Doctors

NPI 1053934182

Tyler A. Graham, DDS

Practitioner General Practice Dentistry Riverton, WY

Practice location

Address
325 W Main St STE G, Riverton, WY 82501-3448
Phone
(307) 856-5210

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 1549 (WY)

Registry record

NPI
1053934182
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2020
Record last updated
23 May 2020

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.