NPI 1114301603

Tyler James Hicks, DMD

Practitioner Dentist Sandy, UT

Practice location

Address: 9008 S Schofield Cir, Sandy, UT 84093-5801
Phone: (801) 386-6377

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 9428569-9922 (UT)

Other Dentist providers in Utah →

Registry record

NPI: 1114301603
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2015
Record last updated: 14 Jul 2015

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.