DR. Tyler Wayne Prim, DMD

NPI #1811912496 in Dothan, Alabama

Provider Information

NPI Number: 1811912496
Entity Type: Individual
Name: DR. Tyler Wayne Prim, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 366 HEALTHWEST DR
City: Dothan
State: Alabama
ZIP Code: 36303
Phone: (334) 793-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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