NPI 1154760411
Tyler J Holley, MDDDS
Practice location
- Address
- 207 W Gore St STE 302, Orlando, FL 32806-1014
- Phone
- (407) 839-8407
- Fax
- (407) 839-8446
Registered specialties (4)
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist)
Oral & Maxillofacial Surgery (D.M.D.)
Registry record
- NPI
- 1154760411
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Jun 2013
- Record last updated
- 8 Jan 2024
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.