Whalio Doctors

NPI 1154760411

Tyler J Holley, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Orlando, FL

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
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence ME144719 (FL)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 7135 (NE)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DN25920 (FL)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 7135 (NE)

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.