Tyler Hanis

NPI #1710728621 in Prescott, Arizona

Provider Information

NPI Number: 1710728621
Entity Type: Individual
Name: Tyler Hanis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 4, 2024
Last Updated: Sep 17, 2025

Practice Location

Address: 1058 FAIR ST STE A
City: Prescott
State: Arizona
ZIP Code: 86305-1803
Phone: (928) 776-0606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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