Tyler Jay Pisciotta

NPI #1023700168 in Las Vegas, Nevada

Provider Information

NPI Number: 1023700168
Entity Type: Individual
Name: Tyler Jay Pisciotta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: May 25, 2023
Last Updated: Dec 12, 2024

Practice Location

Address: 1001 SHADOW LN
City: Las Vegas
State: Nevada
ZIP Code: 89106-4124
Phone: (702) 321-9350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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