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Tyler J Potter, DDS
Oral and Maxillofacial Surgery (Dentist) in Greenwood, Indiana
NPI 1992749402

Tyler J Potter is a Oral and Maxillofacial Surgery (Dentist) based in Fishers, IN and is specialized in Oral and Maxillofacial Surgery. Tyler J Potter practices in Greenwood, IN and has the professional credentials of DDS. The NPI Number for Tyler J Potter is 1992749402 and holds a License No. 12010184A (Indiana).

The current practice location address for Tyler J Potter is 1630 W Smith Valley Rd, Greenwood, IN and can be reached out via phone at 317-882-3370 and via fax at 317-882-2964. You can also correspond with Tyler J Potter through the mailing address at 10972 ALLISONVILLE RD, FISHERS, IN - 46038-2637 (mailing address contact number: 317-913-2363).

Location: 1630 W Smith Valley Rd, Greenwood, IN, 46038-2637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992749402
Provider Name
Tyler J Potter
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1630 W Smith Valley Rd, Greenwood, IN, 46038-2637
Phone Number
317-882-3370
Fax Number
317-882-2964
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200449320 05 IN
institution
Provider Business Practice Location Address Details
Address
1630 W Smith Valley Rd
City
Greenwood
State
Indiana
Zip
46142-1550
Phone Number
317-882-3370
Fax Number
317-882-2964
person
Provider Business Mailing Address Details
Address
10972 Allisonville Rd
City
Fishers
State
Indiana
Zip
46038-2637
Phone Number
317-913-2363
Fax Number
317-913-2360
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
12010184A (Indiana)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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