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Dr. Tyler Roberto Mesa, DDS
Pediatric Dentist in Covington, Louisiana
NPI 1134625114

Tyler Roberto Mesa is a Pediatric Dentist based in Mandeville, LA and is specialized in Pediatric Dentistry. Tyler Roberto Mesa practices in Covington, LA and has the professional credentials of DDS. The NPI Number for Tyler Roberto Mesa is 1134625114 and holds a License No. (Louisiana).

The current practice location address for Tyler Roberto Mesa is 189 Greenbrier Blvd Ste A, Covington, LA and can be reached out via phone at 985-892-5942. You can also correspond with Tyler Roberto Mesa through the mailing address at 1829 LAKESHORE DR, MANDEVILLE, LA - 70448-5917 (mailing address contact number: 985-705-8144).

Location: 189 Greenbrier Blvd Ste A, Covington, LA, 70448-5917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134625114
Provider Name
Tyler Roberto Mesa
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
189 Greenbrier Blvd Ste A, Covington, LA, 70448-5917
Phone Number
985-892-5942
Fax Number
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
189 Greenbrier Blvd Ste A
City
Covington
State
Louisiana
Zip
70433-7297
Phone Number
985-892-5942
Fax Number
person
Provider Business Mailing Address Details
Address
189 Greenbrier Blvd Ste A
City
Covington
State
Louisiana
Zip
70433-7297
Phone Number
985-892-5942
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
6855 (Louisiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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