Dr. Tyler Deitelbaum, DMD
Dentist, General Practice in Danbury, Connecticut
1366245896- Practice location
- 53 North St, Danbury, CT 06810-5637
- Phone
- 203-743-0783
- Fax
- —
- Last updated
- August 3, 2026
Tyler Deitelbaum is a Dentist, General Practice based in Danbury, CT. Tyler Deitelbaum practices in Danbury, CT and has the professional credentials of DMD. The NPI Number for Tyler Deitelbaum is 1366245896 and holds a License No. 14694 (CT). The current practice location address for Tyler Deitelbaum is 53 North St, Danbury, CT 06810-5637 and can be reached out via phone at 203-743-0783.
Provider Profile Details
- NPI Number
- 1366245896
- Provider Name
- Tyler Deitelbaum
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 53 North St, Danbury, CT 06810-5637
- Phone Number
- 203-743-0783
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 31, 2025
- Last Update Date
- August 3, 2026
- Certification Date
- August 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 53 North St
Danbury, CT 06810-5637 - City
- Danbury
- State
- Connecticut
- Zip
- 06810-5637
- Phone Number
- 203-743-0783
Provider Business Mailing Address Details
- Address
- 70 Main St
Danbury, CT 06810-7832 - City
- Danbury
- State
- CT
- Zip
- 06810-7832
- Phone Number
- 203-739-8100
License Information
- License Number
- 14694
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Tyler Deitelbaum, DMD?
The NPI number of Dr. Tyler Deitelbaum, DMD is 1366245896. It was assigned on March 31, 2025 and is currently active in the NPPES registry.
What is the specialty of Dr. Tyler Deitelbaum, DMD?
Dr. Tyler Deitelbaum, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 14694.
Where does Dr. Tyler Deitelbaum, DMD practice?
The practice location is 53 North St, Danbury, CT 06810-5637. The office can be reached at 203-743-0783 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366245896 directly on the NPPES registry website.