NPI 1225402431
Tyler Stanley
Practice location
- Address
- 1025 W Ironwood Dr St 1, Coeur D Alene, ID 83814-3160
- Phone
- (208) 667-2322
- Mailing address
- 12321 W Park Ln, Post Falls, ID 83854-7125
Registered specialties (2)
Dental Hygienist
Primary
Dental Hygienist
Registry record
- NPI
- 1225402431
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Nov 2015
- Record last updated
- 25 Nov 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.