Provider Demographics
NPI:1023222882
Name:TYLER, ERIKA JUNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:JUNE
Last Name:TYLER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 FOCH AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3528
Mailing Address - Country:US
Mailing Address - Phone:517-749-7686
Mailing Address - Fax:
Practice Address - Street 1:989 W WASHINGTON ST
Practice Address - Street 2:SUITE 104
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4064
Practice Address - Country:US
Practice Address - Phone:906-226-9982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010188611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry