NPI 1063869485

Tyler Kalmuck, DDS

Practitioner Oral and Maxillofacial Surgery (Dentist) Sheboygan, WI

Practice location

Address: 3637 Wilgus Ave, Sheboygan, WI 53081-3050
Phone: (920) 458-8213
Fax: (920) 459-9797

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 1002255-15 (WI)

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Registry record

NPI: 1063869485
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2016
Record last updated: 21 Sep 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.